Article Text

Download PDFPDF
Other full case
Chronic meningitis: a diagnostic challenge highlighted in a case of cryptococcal meningoencephalitis in an apparently immunocompetent older woman
  1. Chirag Patel,
  2. Ramila Rabindra,
  3. Nima Hashemi,
  4. Michael Ward,
  5. Jayamalathy Mannar Mannan
  1. Care of the elderly, St Helier Hospital, Carshalton, UK
  1. Correspondence to Dr Chirag Patel, chigsypatel{at}doctors.org.uk

Summary

Chronic meningitis can be difficult to diagnose. The authors report the case of an older Caucasian lady, with no underlying immunocompromising factors, who presented with a 2 month history of confusion. Due to the non-specific symptoms on presentation, a diagnosis was only obtained after a repeat CT scan of the brain, which showed hydrocephalus. Subsequent cerebrospinal fluid analysis showed biochemical abnormalities and Cryptococcus neoformans on staining.

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Not obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.