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Revista Cubana de Pediatría
On-line version ISSN 1561-3119
Abstract
ALVAREZ LAM, Ileana; VELAZQUEZ ACOSTA, Juan Carlos; PONCE BITTAR, Jorge and GAYA, José Antonio. Criptococosis infantil: Presentación de 3 casos. Rev Cubana Pediatr [online]. 2001, vol.73, n.1, pp. 55-59. ISSN 1561-3119.
3 pediatric cases of meningoencephalitis caused by Cryptococcus neoformans serotype A are described. The diagnosis was made by direct examination of the cerebrospinal fluid with India ink. Headache, fever, photophobia and meningeal signs were the predominant clinical manifestations. Although the HIV infection was discarded, cellular immunity compromise was observed in all patients. The evolution was unfavorable in one case and coincided with a late diagnosis of the disease. The treatment with antifungal agents of systemic action (amphotericin B and/or fluconazole) was effective in all cases.
Keywords : CRYPTOCOCCOSIS [complications]; MENINGOENCEPHALITIS [diagnosis]; CEREBROSPINAL FLUID; ANTIFUNGAL AGENTS [therapeutic use].