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A Case of Cryptococcal Meningoencephalitis with Cryptococcal Pneumonia in Pregnancy
Kyung Hwa Park, M.D., Jin Soo Song, M.D., Pyeong Gyun Choe, M.D., Ji Hwan Bang, M.D., Jae Hyun Cho, M.D.Wan Beom Park, M.D., Hong Bin Kim, M.D., Nam Joong Kim, M.D., Myoung-don Oh, M.D., and Kang Won Choe, M.D.
Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea
Vol.38 Num.4 (p229~233)
Cryptoccocosis occurs more frequently in immunocompromised hosts such as patients with AIDS, lymphoma, leukemia and other debilitating diseases. Pulmonary cryptococcosis can occur in the absence of any recognized immunodeficiency and cryptococcal meningitis can occur rarely during pregnancy. Although it is extremely rare, we encounter the reports of case of cryptococcal pneumonia and combined cryptococcal meningitis during pregnancy. We present here that 36-year-old pregnant woman, who was previously healthy, with cryptococcal meningoencephalitis and cryptococcal pneumonia was treated with amphotericin B and flucytosine. The maternal outcome was favorable, and there is no evidence of congenital infection in the newborn.
Keywords : Cryptococcal meningitis, Cryptococcal pneumonia, Pregnancy