Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 6, Number 9, September 2015, pages 406-408

A Deadly Fungus: Case of an Unidentified Severe Cryptococcal Meningoencephalitis

Figure

Figure 1.
Figure 1. Head CT without contrast.

Tables

Table 1. Laboratory Values
 
Sodium (mEq/L)134
Potassium (mEq/L)4.0
Chloride (mEq/L)99
Bicarbonate (mEq/L)25.8
BUN (mg/dL)8
Creatinine (mg/dL)0.53
Glucose (mg/dL)97
AST (U/L)19
ALT (U/L)29
Total bilirubin (mg/dL)0.5
Calcium mg/dL8.7
Lactate (mEq/L)6.5
Alkaline phosphatase (U/L)121
Albumin (g/dL)3.9
Magnesium (mEq/L)1.94
Phosphorus (mEq/L)4.10

 

Table 2. Lumbar Puncture
 
Opening pressure> 30 cm H2O
CSF appearanceCloudy
CSF colorColorless
CSF WBC23
CSF RBC19
CSF protein112
Mononuclear (%)65
Polynuclear (%)35
Glucose< 6
LDH140
India inkEncapsulated yeast
Cryptococcal Ag titer1:32
Cryptococcal AgPositive
CSF cultureC. neoformans