Cryptococcal Meningitis in an HCV-Positive and IVDU-and HIV-Negative Patient: A Case Report and Literature Review

dc.contributor.authorLozada Ramos, Heiler
dc.contributor.authorÁlvarez Payares, Jorge
dc.contributor.authorDaza Arana, Jorge Enrique
dc.contributor.authorSalas Marín, Luisa María
dc.date.accessioned2025-07-10T22:04:24Z
dc.date.available2025-07-10T22:04:24Z
dc.date.issued2024
dc.description.abstractBackground: Cryptococcal meningitis (CM) is a central nervous system (CNS) infection that occurs mainly in immunocompromised individuals such as those with human immunodeficiency virus (HIV) infection. However, the prevalence of CM in immunocompetent patients has increased. Although CM has been reported in patients with hepatitis C virus (HCV) infection, it has not yet been fully established whether there is an association between both conditions. CM has also been reported in patients with intravenous drug use (IVDU), which is related to the immunosuppression caused by these drugs. Case Presentation: We report the case of a 24-year-old man who presented with meningitis secondary to Cryptococcus gattii infection. He had a history of IVDU and HCV infection, was HIV-negative and without antiviral treatment. The patient received adequate antifungal treatment during induction, consolidation, and maintenance phases. His condition relapsed, requiring dose adjustment, with an excellent response during clinical follow-up for both meningitis and HCV infection. A brain biopsy was requested during relapse to rule out other co-infection. Conclusion: The case of an individual diagnosed with cryptococcal meningitis, who had a history of IVDU and HCV infection, is presented. The coexistence of such events could shadow the prognosis of this group of subjects, related to immunosuppression that can be caused through different pathways. Having HCV and being a IVDU simultaneously could increase the risk of Cryptococcus infection.
dc.identifier.citationozada-Ramos H, Álvarez-Payares J, Daza-Arana JE, Salas-Marín LM. Cryptococcal Meningitis in an HCV-Positive and IVDU- and HIV-Negative Patient: A Case Report and Literature Review. Int Med Case Rep J. 2024;17:855-860 https://doi.org/10.2147/IMCRJ.S486119
dc.identifier.issn1179142X
dc.identifier.urihttps://repositorio.usc.edu.co/handle/20.500.12421/7384
dc.language.isoen
dc.publisherDove Medical Press Ltd
dc.subjectcryptococcal meningitis
dc.subjectcryptococcosis
dc.subjecthepatitis C
dc.subjectHIV infection
dc.subjectintravenous drug use
dc.titleCryptococcal Meningitis in an HCV-Positive and IVDU-and HIV-Negative Patient: A Case Report and Literature Review
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Cryptococcal Meningitis in an HCV-Positive and IVDU-and HIV-Negative Patient.pdf
Size:
1.57 MB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: