Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis

The presence of an opportunistic infection in a patient in sub-Saharan Africa is assumed to be due to underlying immunosuppression from human immunodeficiency virus (HIV) infection. The presence of disseminated cryptococcosis in a non-HIV-infected patient is interesting as it is unique in our setti...

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Main Authors: Mohammed Mitha, Preneshni Naicker, Prakash Mahida
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2010-05-01
Series:Journal of Infection in Developing Countries
Subjects:
Online Access:https://jidc.org/index.php/journal/article/view/813
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author Mohammed Mitha
Preneshni Naicker
Prakash Mahida
author_facet Mohammed Mitha
Preneshni Naicker
Prakash Mahida
author_sort Mohammed Mitha
collection DOAJ
description The presence of an opportunistic infection in a patient in sub-Saharan Africa is assumed to be due to underlying immunosuppression from human immunodeficiency virus (HIV) infection. The presence of disseminated cryptococcosis in a non-HIV-infected patient is interesting as it is unique in our setting because the majority of infections are found in HIV-infected individuals. The protean manifestations of the disease and its predilection for immunosuppressed patients make cryptococcosis a challenging and elusive disease to diagnose in HIV-negative patients in our setting, especially due to limited resources. We present a case of disseminated cryptococcosis in an immunocompetent patient and discuss diagnostic and therapeutic features in this subset of patients.
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publisher The Journal of Infection in Developing Countries
record_format Article
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spelling doaj-art-7f219f19c13144b2a00d581ff676ca102025-08-20T02:57:01ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-05-0140810.3855/jidc.813Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosisMohammed Mitha0Preneshni Naicker1Prakash Mahida2Tygerberg Hospital, University of Stellenbosch, Cape Town, South AfricaTygerberg Hospital, University of Stellenbosch, Cape Town, South AfricaTygerberg Hospital, University of Stellenbosch, Cape Town, South Africa The presence of an opportunistic infection in a patient in sub-Saharan Africa is assumed to be due to underlying immunosuppression from human immunodeficiency virus (HIV) infection. The presence of disseminated cryptococcosis in a non-HIV-infected patient is interesting as it is unique in our setting because the majority of infections are found in HIV-infected individuals. The protean manifestations of the disease and its predilection for immunosuppressed patients make cryptococcosis a challenging and elusive disease to diagnose in HIV-negative patients in our setting, especially due to limited resources. We present a case of disseminated cryptococcosis in an immunocompetent patient and discuss diagnostic and therapeutic features in this subset of patients. https://jidc.org/index.php/journal/article/view/813Disseminated cryptococcusHIV negativeSouth Africa
spellingShingle Mohammed Mitha
Preneshni Naicker
Prakash Mahida
Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
Journal of Infection in Developing Countries
Disseminated cryptococcus
HIV negative
South Africa
title Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
title_full Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
title_fullStr Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
title_full_unstemmed Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
title_short Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis
title_sort disseminated cryptococcosis in an hiv negative patient in south africa the elusive differential diagnosis
topic Disseminated cryptococcus
HIV negative
South Africa
url https://jidc.org/index.php/journal/article/view/813
work_keys_str_mv AT mohammedmitha disseminatedcryptococcosisinanhivnegativepatientinsouthafricatheelusivedifferentialdiagnosis
AT preneshninaicker disseminatedcryptococcosisinanhivnegativepatientinsouthafricatheelusivedifferentialdiagnosis
AT prakashmahida disseminatedcryptococcosisinanhivnegativepatientinsouthafricatheelusivedifferentialdiagnosis