Article
Cryptococcal Meningoencephalitis 10 Years After Bone Marrow Transplant in a Patient With Multiple Myeloma
Neurology
Division
West Florida
Hospital
Medical Center of Trinity
Document Type
Case Report
Publication Date
12-15-2020
Keywords
- cryptococcus,
- cryptococcal meningoencephalitis,
- encephalitis,
- meningoencephalitis
Disciplines
Abstract
Cryptococcosis is a fungal infection that mostly affects immunocompromised patients. Diagnosis is based on the detection of cryptococcal antigen in the cerebrospinal fluid (CSF) or serum. Antifungal resistance is emerging, making treatment difficult and long. We report a case of cryptococcosis in a patient with multiple myeloma, years after undergoing a bone marrow transplant. Symptoms were mild, and imaging studies were nonspecific. CSF analysis revealed positive cryptococcal antigen. The patient was started on the standard three-phase antifungal therapy and recovered.
Publisher or Conference
Cureus
Citation Information
Stepman G, Sanapati J, Dabb K, et al. Cryptococcal Meningoencephalitis 10 Years After Bone Marrow Transplant in a Patient With Multiple Myeloma. Cureus. 2020 Dec 14;12(12):e12094. doi:10.7759/cureus.12094