The role of lumbar puncture in the management of elevated intracranial pressure in patients with AIDS-associated cryptococcal meningitis.
نویسندگان
چکیده
Aspergillosis 1/1 Astrocytoma/glioblastoma 3/3 2 (1–3) Bacterial meningitis — 7/10 CMV encephalitis — 49/54 CMV plus other OI 5/23 Cryptococcosis 6/45 2 (1–4) 67/263 Encephalopathy, unknown origin 6/7 1 (1–2) 36/41 Herpetic meningoencephalitis — 8/10 HIV encephalopathy — 74/87 HIV encephalopathy plus other OI 2/3 Primary brain lymphoma 15/16 1 (1–2) — PML 67/78 Syphilis — 11/14 Systemic non-Hodgkin’s lymphoma 3/6 2 (1–3) 1/3 Toxoplasmosis 74/91 3 (1–5) — Toxoplasmosis plus other OI 10/17 2 (1–4) Tuberculosis 3/7 3 (1–5) 20/25 Tuberculosis plus other OI 2/3 Total 121/193 349/614
منابع مشابه
Noninvasive intracranial pressure monitoring for HIV-associated cryptococcal meningitis
Mortality and adverse neurologic sequelae from HIV-associated cryptococcal meningitis (HIV-CM) remains high due to raised intracranial pressure (ICP) complications. Cerebrospinal fluid (CSF) high opening pressure occurs in more than 50% of HIV-CM patients. Repeated lumbar puncture with CSF drainage and external lumbar drainage might be required in the management of these patients. Usually, ther...
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While fungal infections of the CNS are relatively rare, they have become more common with the increasing number of individuals who are immunocompromised due to HIV/AIDS, immunosuppressive therapies, invasive diagnosis and treatment methods, and organ transplants. CNS fungal infections present many diagnostic and therapeutic challenges and are associated with a high mortality rate. Cryptococcal ...
متن کاملVisual evoked potentials show strong positive association with intracranial pressure in patients with cryptococcal meningitis.
OBJECTIVE To verify the relationship between intracranial pressure and flash visual evoked potentials (F-VEP) in patients with cryptococcal meningitis. Method The sample included adults diagnosed with cryptococcal meningitis admitted at a reference hospital for infectious diseases. The patients were subjected to F-VEP tests shortly before lumbar puncture. The Pearsons linear correlation coeffi...
متن کاملIntegrated therapy for HIV and cryptococcosis
Cryptococcosis has been one of the most common opportunistic infections and causes of mortality among HIV-infected patients, especially in resource-limited countries. Cryptococcal meningitis is the most common form of cryptococcosis. Laboratory diagnosis of cryptococcosis includes direct microscopic examination, isolation of Cryptococcus from a clinical specimen, and detection of cryptococcal a...
متن کاملبررسی صحت علایم بالینی در تشخیص ضایعات کنترااندیکه پونکسیون لومبر در بیماران مشکوک به مننژیت حاد
Background: The diagnosis of acute bacterial meningitis rests on CSF examination by lumbar puncture. Before lumbar puncture, intracranial mass lesions that increase intracranial pressure, must be ruled out, so brain CT-scan may be considered . In this study we evaluated the accuracy of physical examination for intracranial mass in patients with meningismus. Materials and Methods: 100 patients ...
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عنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 31 5 شماره
صفحات -
تاریخ انتشار 2000