Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/92122
Type: Artigo de periódico
Title: Cryptococcal Meningitis In Hiv Negative Pregnant Women: Case Report And Review Of Literature
Author: Costa M.L.B.
De Souza J.P.D.
De Oliveira Neto A.F.
Pinto E Silva J.L.
Abstract: Introduction: 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. Objective: To report a case of cryptococcosis, and review all cases involving pregnancy and neurocryptococcal infection in immune competent pregnant patients. Methods: Case report and systematic review of the literature using the MEDLINE and SciELO databases. Discussion: 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. Conclusion: 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.
Editor: 
Rights: aberto
Identifier DOI: 10.1590/S0036-46652009000500010
Address: http://www.scopus.com/inward/record.url?eid=2-s2.0-70449636039&partnerID=40&md5=b4ed1a8cec358666f523941d4867686b
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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