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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 177-179

Cryptococcal meningitis in an immunocompetent young adult: A rare occurrence


Department of General Medicine, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India

Correspondence Address:
Naval Chandra
Additional Professor, 4th Floor, Department of General Medicine, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad 500 082, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCSR.JCSR_19_19

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Meningitis, when caused by fungi such as Cryptococcus, is usually seen in immunocompromised hosts. However, immunocompetent patients are rarely susceptible to cryptococcal meningitis (CM). We report the case of a 22-year-old immunocompetent male who presented with fever, headache for which he received treatment initially as viral/bacterial meningitis; but as there was no response further diagnostic work-up confirmed the diagnosis of CM. We report this case in view of the rarity of cryptococcal infection in immunocompetent hosts and also to increase the awareness among physicians to consider fungal infections in one of the differentials early in the hospital course while managing patients with meningitis even if they are immunocompetent. This helps in early targeted therapy and thus reduces the morbidity and mortality associated with this deadly disease.


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