Abstract

PANEQUE RODRIGUEZ, Ileana et al. Cryptococcosis in renal transplant recipients. Rev Cubana Med Trop [online]. 2007, vol.59, n.2, pp. 0-0. ISSN 1561-3054.

This article presented the case of a 64 years-old renal transplant recipient, who was a poultry farm worker and had suffered meningoencephalitis six months after receiving immunosuppressive therapy. Rapid diagnosis was based on a cerebrospinal fluid sample analyzed with latex particles for Cryptococcus spp antigen detection. Culture of the clinical sample in agar-Sabouraund-chloramphenicol medium confirmed the initial diagnosis whereas biochemical identification was made with the API 20C AUX system. Amphotericin B treatment was immediately applied to the patient and later fluconazole until microbiological tests yielded negative results. After 5 months, the patient relapsed and restarted the specific treatment. He was followed up on outpatient service and two year after the organ transplantation, his recovery was favourable.

Keywords : Cryptococcocis in renal transplant; Cryptococcus neoformans; meningoencephalitis caused by Cryptococcus neoformans.

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