Case of Transient Loss of Consciousness from Cryptococcal Meningitis
Author Information
Author(s): Wilbur Lee, Heyborne Ryan
Primary Institution: Indiana University; Department of Emergency Medicine
Hypothesis
Can cryptococcal meningitis present in an immunocompetent patient with transient loss of consciousness?
Conclusion
Cryptococcal meningitis can occur in immunocompetent individuals and may present without classic symptoms.
Supporting Evidence
- The patient had transient loss of consciousness and was found to have cryptococcal meningitis.
- Cerebrospinal fluid analysis revealed a positive cryptococcal antigen.
- The patient was successfully treated with Amphotericin B and fluconazole.
Takeaway
Sometimes, even healthy people can get sick from a germ called cryptococcus, which can make them faint. This case shows that doctors need to be careful and check for this illness.
Methodology
The case involved a clinical examination, imaging studies (CT and MRI), and cerebrospinal fluid analysis.
Potential Biases
Potential bias in diagnosis due to atypical presentation.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 51-year-old immunocompetent female.
Digital Object Identifier (DOI)
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