33b - Fungal Meningitis Flashcards
1
Q
What group does Cryptococcus usually infect?
A
HIV or inmmunocompromised
2
Q
Source of cryttococcus neoformans
A
pigeon droppings (always an encapsulated yeast, not dimorphic)
3
Q
Clinical presentation of cryptococcus?
A
initial ASYMPTOMATIC pulmonary infection that can progress to miningitis (fatal)
4
Q
How is crypto diagnosed?
A
Halos on india ink stain of CSF
5
Q
Treatment of cyrpto?
A
amphotericin B and flucytosine
6
Q
What is steroid-associated meningitis?
A
exserohilum rostratum contaminated steroids given out. Diagnose by CSF analysis and culture.
7
Q
Treatment for steroid-assoc meningitis?
A
IV voriconazole for 3 months
