A case report of cryptococcal meningoencephalitis presenting as uveitis

In any patient with a first attack of posterior uveitis, it is important to differentiate whether the underlying cause is infective or non-infective in nature. However, when patients with a history of non-infective posterior inflammation present with recurrent symptoms of a flare-up, there is naturally a much lower suspicion of an infective aetiology and immunosuppression is usually commenced for the ‘flare-up’. We present a case of infective posterior uveitis due to a rare pathogen occurring in a patient with a known history of sarcoid uveitis which was initially misdiagnosed and treated as a ‘flare-up’.