Meningitis Due to Prototheca wickerhamii in a Patient with AIDS

The first documented case of algal meningitis due to Prototheca wickerhamii is reported in a patient with AIDS. The initial CSF culture yielded only Cryptococcus neoformans. P. wickerhamii was isolated on four subsequent lumbar punctures. The patient died, and at autopsy the alga was isolated from l...

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Veröffentlicht in:	Clinical infectious diseases 1992-10, Vol.15 (4), p.704-706
Hauptverfasser:	Kaminski, Z. C., Kapiia, R., Sharer, L. R., Kloser, P., Kaufman, L.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult AIDS-Related Opportunistic Infections - cerebrospinal fluid AIDS-Related Opportunistic Infections - drug therapy AIDS-Related Opportunistic Infections - microbiology AIDS/HIV Amphotericin B - therapeutic use Autopsies Bacterial diseases Bacterial meningitis Blood Cerebrospinal Fluid - microbiology Cryptococcosis - cerebrospinal fluid Cryptococcosis - drug therapy Cryptococcosis - microbiology Cryptococcus neoformans - drug effects Cryptococcus neoformans - isolation & purification Female Flucytosine - therapeutic use Fungal diseases Fungal infections Humans India ink Infections Lumbar punctures Meningitis - cerebrospinal fluid Meningitis - drug therapy Meningitis - microbiology Meningitis, Fungal - cerebrospinal fluid Meningitis, Fungal - drug therapy Meningitis, Fungal - microbiology Pathology Prototheca - isolation & purification Prototheca wickerhamii
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Zusammenfassung:	The first documented case of algal meningitis due to Prototheca wickerhamii is reported in a patient with AIDS. The initial CSF culture yielded only Cryptococcus neoformans. P. wickerhamii was isolated on four subsequent lumbar punctures. The patient died, and at autopsy the alga was isolated from leptomeninges over the brain and about the spinal cord. Histologic sections from numerous locations of the brain revealed masses of cryptococci and protothecae.
ISSN:	1058-4838 1537-6591
DOI:	10.1093/clind/15.4.704