Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/198526
Type: Artigo de periódico
Title: Cryptococcal Meningitis In Hiv Negative Pregnant Women: Case Report And Review Of Literature.
Author: Costa, Maria Laura Botelho
Souza, João Paulo Dias de
Oliveira Neto, Antônio Francisco de
Pinto E Silva, João Luiz
Abstract: Cryptococcosis has become an important entity due to the epidemic of AIDS and therefore it is a significant opportunistic infection. However, there are case reports of cryptococcal meningitis in immune competent pregnant women. Since pregnancy is considered a period of relative immunosuppression, which likely prevents fetal rejection, this could explain the occurrence of opportunistic infections. To report a case of cryptococcosis, and review all cases involving pregnancy and neurocryptococcal infection in immune competent pregnant patients. Case report and systematic review of the literature using the MEDLINE and SciELO databases. A total of 27 patients were analyzed from 19 studies. The mean age at diagnosis was 26.4 years. There were six patients in their first trimester of pregnancy, 10 in the second, eight in the third and three post-partum. The most prevalent symptoms were headache (85.2%), altered vision (44.4%), altered mental status (44.4%), nausea (40.7%) and fever (33.3%). There were nine deaths (33.3%). Most of the patients received intravenous amphotericin B as treatment (77.8%). The majority (66.6%) of the patients accomplished a term delivery with healthy infants. Cryptococcal meningitis should be considered during pregnancy in cases of unexplained headache, altered vision, altered mental status, nausea and fever. Patients with a confirmed diagnosis should be admitted and treated with amphotericin B.
Subject: Adult
Amphotericin B
Antifungal Agents
Cryptococcus Neoformans
Female
Hiv Seronegativity
Humans
Immunocompetence
Meningitis, Cryptococcal
Pregnancy
Pregnancy Complications, Infectious
Citation: Revista Do Instituto De Medicina Tropical De São Paulo. v. 51, n. 5, p. 289-94
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/19893983
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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