ID | 65805 |
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Author |
Fukushima, Shinnosuke
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Hagiya, Hideharu
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Yamamoto, Yukichika
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Oguni, Kohei
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Hasegawa, Kou
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Otsuka, Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Abstract | Cryptococcal meningitis is a critical disease that occasionally involves immunosuppressed patients. We herein report a 79-year-old Japanese man who received low-dose prednisolone therapy for neurosarcoidosis and panhypopituitarism. He presented a 10-day history of a fever and altered mental status. The FilmArray & REG; Meningitis/Encephalitis Panel and serum cryptococcal antigen tests were both negative, but the cerebrospinal fluid sample became positive for Cryptococcus neoformans after seven-day incubation. After the diagnosis of cryptococcal meningitis, we successfully treated the patient with a recommended treatment regimen. When an immunocompromised patient presents with a subacute fever accompanying any central nervous symptoms, cryptococcal meningitis should be screened for.
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Keywords | cryptococcal meningitis
Cryptococcus neoformans
neurosarcoidosis
interleukin-6
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Published Date | 2023-08-15
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Publication Title |
Internal Medicine
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Volume | volume62
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Issue | issue16
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Publisher | The Japanese Society of Internal Medicine
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Start Page | 2433
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End Page | 2435
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ISSN | 0918-2918
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NCID | AA10827774
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © 2023 The Japanese Society of Internal Medicine
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File Version | publisher
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Related Url | isVersionOf https://doi.org/10.2169/internalmedicine.0879-22
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License | https://creativecommons.org/licenses/by-nc-nd/4.0/
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