Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient

Conclusion: Diagnosing concurrent cryptococcal and toxoplasma infections is challenging due to overlapping clinical symptoms and variability in test sensitivities. This case underscores the need for a comprehensive diagnostic approach and the critical role of brain biopsy when other diagnostic metho...

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Main Authors: Jeffrey Valencia Uribe, Ann-Katrin Valencia, Brian Nudelman, Nicole Nudelman, Dante P. Melendez Lecca
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/crdi/9917703
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author Jeffrey Valencia Uribe
Ann-Katrin Valencia
Brian Nudelman
Nicole Nudelman
Dante P. Melendez Lecca
author_facet Jeffrey Valencia Uribe
Ann-Katrin Valencia
Brian Nudelman
Nicole Nudelman
Dante P. Melendez Lecca
author_sort Jeffrey Valencia Uribe
collection DOAJ
description Conclusion: Diagnosing concurrent cryptococcal and toxoplasma infections is challenging due to overlapping clinical symptoms and variability in test sensitivities. This case underscores the need for a comprehensive diagnostic approach and the critical role of brain biopsy when other diagnostic methods, such as Karius testing and CSF PCR, are inconclusive. Prompt empirical treatment based on clinical suspicion, with subsequent treatment adjustments guided by clinical response and follow-up assessments, is essential for effective management.
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institution Kabale University
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publishDate 2025-01-01
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series Case Reports in Infectious Diseases
spelling doaj-art-e1c2601de768417a88b8d6c2ccbd69a82025-08-20T03:24:27ZengWileyCase Reports in Infectious Diseases2090-66332025-01-01202510.1155/crdi/9917703Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised PatientJeffrey Valencia Uribe0Ann-Katrin Valencia1Brian Nudelman2Nicole Nudelman3Dante P. Melendez Lecca4Internal MedicineInternal MedicineInternal MedicineInternal MedicineDivision of Infectious DiseaseConclusion: Diagnosing concurrent cryptococcal and toxoplasma infections is challenging due to overlapping clinical symptoms and variability in test sensitivities. This case underscores the need for a comprehensive diagnostic approach and the critical role of brain biopsy when other diagnostic methods, such as Karius testing and CSF PCR, are inconclusive. Prompt empirical treatment based on clinical suspicion, with subsequent treatment adjustments guided by clinical response and follow-up assessments, is essential for effective management.http://dx.doi.org/10.1155/crdi/9917703
spellingShingle Jeffrey Valencia Uribe
Ann-Katrin Valencia
Brian Nudelman
Nicole Nudelman
Dante P. Melendez Lecca
Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
Case Reports in Infectious Diseases
title Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
title_full Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
title_fullStr Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
title_full_unstemmed Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
title_short Diagnostic Challenges and Treatment of Concurrent Toxoplasmosis and Disseminated Cryptococcus in an Immunocompromised Patient
title_sort diagnostic challenges and treatment of concurrent toxoplasmosis and disseminated cryptococcus in an immunocompromised patient
url http://dx.doi.org/10.1155/crdi/9917703
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