Author | Hagan, José Edward | |
Author | Dias, Jesângeli Sousa | |
Author | Villasbôas Bisneto, José Caetano | |
Author | Falcão, Melissa Barreto | |
Author | Ko, Albert Icksang | |
Author | Ribeiro, Guilherme de Sousa | |
Access date | 2014-06-04T18:57:23Z | |
Available date | 2014-06-04T18:57:23Z | |
Document date | 2014 | |
Citation | HAGAN, J. E. et al. Puerperal brain cryptococcoma in an HIV-negative woman. Revista da Sociedade Brasileira de Medicina Tropical, v. 47, n. 2, p. 254-256, 2014. | pt_BR |
ISSN | 0037-8682 | |
URI | https://www.arca.fiocruz.br/handle/icict/7794 | |
Language | eng | pt_BR |
Publisher | Sociedade Brasileira de Medicina Tropical | pt_BR |
Rights | open access | pt_BR |
Title | Puerperal brain cryptococcoma in an HIV-negative woman | pt_BR |
Type | Article | pt_BR |
DOI | 10.1590/0037-8682-0215-2013 | |
Abstract | Cryptococcus spp. cerebral abscesses are uncommon in immunocompetent subjects. The recommended induction treatment is
the administration of amphotericin B plus fl ucytosine combined with resection for lesions ≥3cm. In this paper, we describe an
HIV-negative woman diagnosed with a large cryptococcoma in the immediate postpartum period. The lesion was not resected,
and due to amphotericin B intolerance, she received an extended course of fl uconazole monotherapy. There was no disease
recurrence during the 4 years of follow-up. The abrupt onset of her symptoms following delivery suggests that she developed a
postpartum immune reconstitution syndrome. This case also demonstrates that in specifi c situations fl uconazole monotherapy
can be attempted in immunocompetent patients with cryptococcoma | pt_BR |
Affilliation | Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA / Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Couto Maia. Secretaria de Saúde do Estado da Bahia. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Couto Maia. Secretaria de Saúde do Estado da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Yale School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, CT, USA / Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil | pt_BR |
Subject | Cryptococcus | pt_BR |
Subject | Immune reconstitution inflammatory syndrome | pt_BR |
Subject | Treatment | pt_BR |