Print this page Email this page
Users Online: 301
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Contacts Login 
Year : 2013  |  Volume : 27  |  Issue : 1  |  Page : 56-60

Prevalence of cryptococcal meningitis in patients of acquired immunodeficiency syndrome: A single center experience from Regional Institute of Medical Sciences

Department of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
S Bhagyabati Devi
Department of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4958.116647

Rights and Permissions

Objectives : To study the profile of cryptococcal meningitis in acquired immunodeficiency syndrome (AIDS) patients. Materials and Methods: AIDS cases admitted in the medicine ward of Regional Institute of Medical Sciences, Imphal from July 2003 to June 2011, with signs and symptoms of meningitis were included in the study. Routine cerebrospinal fluid (CSF) analysis, India ink preparation, cryptococcal antigen latex agglutination (CALA), adenosine deaminase, Vitek-2 technology for species identification, culture, and sensitivity for CSF, serum CALA, skin scraping, fine needle aspiration cytology from lymph nodes, sputum for Acid Fast Bacillus, Cryptococcus by Giemsa stain, computed tomography scan/magnetic resonance imaging brain, CD 4 T-cell count, HbsAg, Hepatitis C Virus-Ab and Venereal Disease Research Laboratory test were done for all patients. Results : Out of 391 AIDS cases, 89 had cryptococcal meningitis. Age ranged from 21 years to 61 years (Male:Female = 3.4:1). CSF findings were suggestive of chronic meningitis in 71 (78.86%) cases. Causative species of Cryptococcus strains were Cryptococcus neoformans in 86 cases and Cryptococcus albidus in 3 cases. India ink was positive in CSF examination in 74 (83.1%) cases while CSF and serum CALA were positive in 84.3% and 100% cases respectively.Mean CD4T-cell count was 44.64 ± 25.3. Commonest co-opportunistic infection was tuberculosis (n = 8). Hepatitis B virus and HCV co-infection was found in 2 and 5 cases respectively. Six cases out of 19 Anti-Retroviral treatment naοve patients developed cryptococcal meningitis as a result of Immune reconstitution inflammatory syndrome. Conclusion: Cryptococcosis is still prevalent in AIDS and new variants of cryptococcus other than C. neoformans have been detected.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded337    
    Comments [Add]    

Recommend this journal