脳障害と治療

概要

Meningitis Simultaneuously Due to Cryptococcus neoformans and Mycobacterium tuberculosis in a Inmunosupressed Patient

Sergio Castaño Ávila, Noemi Legaristi Martínez, Alejandro Martín López and Tejero Mogena

A 51-year-old white female patient was admitted to our Intensive Care Unit, who was originally referred from Nephrology department due to neurological impairment. She had crhonic renal failure and was being treated with immunosuppressants (tacrolimus and prednisone) because she had undergone a cadaveric kidney transplantation in the past. The previous week she had been discharged after being treated for tuberculosis but she developed new symtoms including nausea, vomiting and hepatotoxicity due to the antituberculous treatment, which had to be finally stopped. Her abdominal simptomatology improved, however, she developed neurological impairment, refractory headache and tremors. On admission her temperature was 37.5ºC and Glasgow coma score 13.