Article ; Online: Cryptococccal meningoencephalitis after H1N1 influenza.
BMJ case reports
2012 Volume 2012
Abstract: Cryptococcus neoformans is associated with a spectrum of diseases including meningoencephalitis, pneumonia and soft tissue infections. Incidence is higher in immunocompromised hosts like HIV-infected individuals and solid organ transplant recipients. The ...
Abstract | Cryptococcus neoformans is associated with a spectrum of diseases including meningoencephalitis, pneumonia and soft tissue infections. Incidence is higher in immunocompromised hosts like HIV-infected individuals and solid organ transplant recipients. The influenza virus is known to cause immunologic defects. Additionally, the 2009-pandemic H1N1 virus is associated with increased incidence of acute respiratory distress syndrome (ARDS) requiring treatment with systemic steroids. The authors present the first case of cryptococcal meningitis in a patient with flu A-associated ARDS (FLAARDS). In this patient, risk factors for invasive fungal disease included a combination of severe and prolonged H1N1-influenza virus infection, corticosteroid therapy and broad-spectrum antibiotics. While prolonged corticosteroid use is a known risk factor for development of invasive fungal disease, the authors postulate that by causing immunologic defects and FLAARDS, the 2009-pandemic H1N1 virus may represent an additional independent risk for the development of C neoformans meningitis in a previously healthy individual. |
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MeSH term(s) | Cryptococcus neoformans/isolation & purification ; Humans ; Immunocompromised Host ; Influenza A Virus, H1N1 Subtype ; Influenza, Human/complications ; Influenza, Human/epidemiology ; Influenza, Human/virology ; Male ; Meningitis, Cryptococcal/diagnosis ; Meningitis, Cryptococcal/etiology ; Meningitis, Cryptococcal/microbiology ; Middle Aged ; Pandemics ; Risk Factors ; United States/epidemiology |
Language | English |
Publishing date | 2012-01-10 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr.11.2011.5224 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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