Cryptococcus Infection and Lymphocytopenia: An Ill Defined Entity
Published: September 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/41653.13130
Venkat Janardhan Rama Reddy, S Brunda, Amit Kulkarni, BG Chenna Keshava
1. Postgraduate Student, Department of General Medicine, Sagar Hospital, Bengaluru, Karnataka, India.
2. Postgraduate Student, Department of General Medicine, Sagar Hospital, Bengaluru, Karnataka, India.
3. Consultant Neurologist, Sagar Hospital, Bengaluru, Karnataka, India.
4. Consultant Neurologist, Sagar Hospital, Bengaluru, Karnataka, India.
Correspondence
Dr. BG Chenna Keshava,
1323, 7th Main 2nd Stage, WCR Mahalaxmipuram, Bengaluru-560086, Karnataka, India.
E-mail: ckeshava7@gmail.com
Cryptococcus neoformans infections are rare. Meningitis by Cryptococcus is well known as an opportunistic infection. It is most commonly seen in immuno-suppressed patients, especially in retrovirus infections and chemotherapy patients. Herein we describe a healthy adult male patient, with no known co-morbidities, who had Cryptococcus meningitis with associated very low CD4 count. We could not ascertain a reason for the low CD 4 count and hence was labelled as Idiopathic CD4 lymphocytopenia. Patient was successfully treated with amphotericin and discharged home.
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