Bright, PD; Lupiya, D; van Oosterhout, JJ; Chen, A; Harrison, TS; Chan, AK
(2018)
The treatment of a pregnant HIV positive patient with cryptococcal meningitis in Malawi. Case report and review of treatment options.
MEDICAL MYCOLOGY CASE REPORTS, 19.
pp. 9-12.
ISSN 2211-7539
https://doi.org/10.1016/j.mmcr.2017.10.002
SGUL Authors: Harrison, Thomas Stephen
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Abstract
This case reports cryptococcal meningitis in an HIV positive woman on antiretroviral therapy, presenting with left middle cerebral artery stroke at 30 weeks gestation. The patient had well-controlled HIV (CD4 count over 200 cells/mL). The immunosuppressive effects of the pregnancy likely contributed to the development of cryptococcal disease. The patient was successfully treated with two weeks of amphotericin B followed by fluconazole, delivered a healthy baby, but remained with a permanent severe neurological deficit.
Item Type: | Article | ||||||||
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Additional Information: | © 2017 The Authors. Published by Elsevier B.V. on behalf of International Society for Human and Animal Mycology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/). | ||||||||
Keywords: | Cryptococcal meningitis, Pregnancy, Treatment, HIV, Malawi | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Infection and Immunity Research Institute (INII) | ||||||||
Journal or Publication Title: | MEDICAL MYCOLOGY CASE REPORTS | ||||||||
ISSN: | 2211-7539 | ||||||||
Dates: |
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Publisher License: | Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0 | ||||||||
Web of Science ID: | WOS:000422685800003 | ||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/109583 | ||||||||
Publisher's version: | https://doi.org/10.1016/j.mmcr.2017.10.002 |
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