Malhotra Radhika, Lodato Zachary, Brunk Patrick, Manoharan Anjella, Hajifathalian Kaveh, Finkel Diana, Mahendrakar Smita
Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
IDCases. 2023 Jul 24;33:e01851. doi: 10.1016/j.idcr.2023.e01851. eCollection 2023.
Cryptococcus most commonly affects the pulmonary and central nervous systems in patients who are immunocompromised. It is most likely to present as meningitis. However, it can affect immunocompetent patients in the cerebral parenchyma. Here we describe a rare case of cryptococcoma in an immunocompetent male patient who originally presented with headache and possible seizure-like activity and had IV drug use as a risk factor. Cryptococcomas are a rare manifestation of the disease, and can present due to Cryptococcus gatti. Definite diagnosis is dependent on culture of the organism and treatment includes a long course of anti-fungals.
隐球菌最常影响免疫功能低下患者的肺部和中枢神经系统。它最有可能表现为脑膜炎。然而，它也可影响免疫功能正常患者的脑实质。在此，我们描述一例罕见的隐球菌瘤病例，该免疫功能正常的男性患者最初表现为头痛和可能的癫痫样发作，且有静脉吸毒这一危险因素。隐球菌瘤是该疾病的一种罕见表现，可由新型隐球菌引起。明确诊断依赖于病原体培养，治疗包括长期的抗真菌治疗。
