Fatal Cryptococcus gattii genotype AFLP6/VGII infection in a HIV-negative patient: case report and a literature review

Mycoses. 2014 Oct;57(10):639-43. doi: 10.1111/myc.12210. Epub 2014 Jun 30.

Abstract

Cryptococcus gattii, a species belonging to the Cryptococcus complex which occurs endemically in tropical and subtropical regions, has been reported as a causative agent of cryptococcosis in healthy individuals. We report a case of meningitis in HIV-negative patient from Cuiaba, MT, in the Midwestern region of Brazil. Cryptococcus gattii AFLP6/VGII was isolated from cerebrospinal fluid and molecular typing was performed by URA5-RFLP. The in vitro susceptibility profile was determined using the standard method according to the document M27A3, CLSI 2008. C. gattii AFLP6/VGII was shown to be susceptible to the antifungals tested. Treatment with 0.8 mg/kg of amphotericin B was initiated; however, the patient died 2 days after the onset of therapy.

Keywords: Cryptococcus gattii; Neurocryptococcosis; midwestern of Brazil; seronegative for HIV.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antifungal Agents / therapeutic use
  • Brazil
  • Child
  • Child, Preschool
  • Cryptococcosis / drug therapy
  • Cryptococcosis / microbiology*
  • Cryptococcus gattii / drug effects
  • Cryptococcus gattii / genetics
  • Cryptococcus gattii / isolation & purification*
  • Fatal Outcome
  • Female
  • Genotype
  • Humans
  • Male
  • Meningitis / drug therapy
  • Meningitis / microbiology*
  • Middle Aged
  • Polymorphism, Restriction Fragment Length

Substances

  • Antifungal Agents