Meningoencefalitis por Criptococo neoformans. Reporte de caso y revisión del tema.

Authors

  • Félix Alberto Pérez Estrada
  • Juan Carlos Morales García
  • Carlos Alberto Rojas Borroto
  • Yuremis Mato Hernández
  • Ignacio Martínez Rodríguez
  • Daisy Amores Sánchez

Abstract

Se presenta el caso de una paciente femenina de 60 años, procedente de área urbana, con antecedentes de hipertensión arterial y artritis psoriásica, que lleva tratamiento con metrotexate, quien ingresó en la Unidad de Cuidados Intensivos por cefalea gradual generalizada y constante, seguida de pérdida de la conciencia, convulsiones generalizadas tónico-clónicas, estupor, afasia mixta, hiperreflexia osteotendinosa en los 4 miembros, Babinnsky bilateral y rigidez de nuca. La tomografía de cráneo informó hemorragia cerebral intraparenquimatosa. El estudio del líquido cefalorraquídeo fue incoloro, transparente, con 50 células solamente a predominio de linfocitos, por lo que se sospechó meningoencefalitis por hongos, que se confirmó al realizar tinción con tinta china (Cryptococo neoformans). Fueron estudiadas las excretas de su mascota (cotorra Amazona leucocephala leucocephala) que demostró ser el agente causal. Se aplicó tratamiento con amfotericin B, pero finalmente falleció ocho semanas después.

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How to Cite

1.
Pérez Estrada FA, Morales García JC, Rojas Borroto CA, Mato Hernández Y, Martínez Rodríguez I, Amores Sánchez D. Meningoencefalitis por Criptococo neoformans. Reporte de caso y revisión del tema. Mediciego [Internet]. 2012 Nov. 15 [cited 2025 Dec. 30];18. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/1902

Issue

Vol. 18 (2012): Suplemento especial

Section

Case Report

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