Intracerebral CSF collection mimicking cerebral abscess in a patient suffering from cryptococcal meningitis

Antonis Vakis; Dimitris Koutentakis; Dimitris Karabetsos; Demosthenes Ntouros

doi:10.1016/j.jinf.2005.02.007

Intracerebral CSF collection mimicking cerebral abscess in a patient suffering from cryptococcal meningitis

J Infect. 2005 Nov;51(4):e233-5. doi: 10.1016/j.jinf.2005.02.007.

Authors

Antonis Vakis¹, Dimitris Koutentakis, Dimitris Karabetsos, Demosthenes Ntouros

Affiliation

¹ Department of Neurosurgery, University of Crete, Medical School, Heraklion University Hospital, Voutes, 71021 Heraklion - Crete, Greece.

PMID: 16291277
DOI: 10.1016/j.jinf.2005.02.007

Abstract

We report a case of a large intracerebral CSF collection formed along the course of the catheter of an ommaya-type reservoir (Medtronic 12 mm), implanted in a patient suffered from cryptococcal meningitis in the frame of CLL. This collection was at first diagnosed as intracerebral abscess but emergency craniotomy proves clear CSF collection with no signs of infection. We describe the case and we discuss the issue of CSF pressure pathophysiology and changes in flow dynamics, to patients with cryptococcal meningitis.

MeSH terms

Acyclovir / administration & dosage
Aged
Amphotericin B / administration & dosage
Anti-Infective Agents / administration & dosage
Brain Abscess / diagnosis
Brain Abscess / therapy
Ceftriaxone / administration & dosage
Cerebrospinal Fluid / microbiology
Cerebrospinal Fluid Pressure*
Diagnosis, Differential
Drainage / instrumentation
Drainage / methods
Fluconazole / administration & dosage
Humans
Magnetic Resonance Imaging / methods
Male
Meningitis, Cryptococcal / diagnosis*
Meningitis, Cryptococcal / physiopathology
Meningitis, Cryptococcal / therapy*
Metronidazole / administration & dosage
Spinal Puncture* / adverse effects
Spinal Puncture* / methods
Teicoplanin / administration & dosage

Substances

Anti-Infective Agents
Metronidazole
Teicoplanin
Ceftriaxone
Amphotericin B
Fluconazole
Acyclovir