[Bacterial meningitis in HIV patient: think about co-infections!].

Ann Fr Anesth Reanim

Département d'anesthésie-réanimation-urgences, hôpital d'instruction des Armées-Legouest, avenue de Plantières, BP 10, 57998 Metz-Armées, France.

Published: January 2007

The authors report the case of an African 34-year-old patient who was admitted to the intensive care unit for bacterial meningitis due to Streptococcus pneumoniae. A meningeal co-infection due to Cryptococcal neoformans was found the 3rd day in an HIV infection context. Cryptococcus neoformans detection in cerebrospinal fluid, using the India-ink stain, has a low sensibility which imposes the search of cryptococcal antigen and the culture of cerebrospinal fluid. These last two exams have a sensibility of at least 90%.

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http://dx.doi.org/10.1016/j.annfar.2006.06.024DOI Listing

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