2016, Cilt 46, Sayı 4, Sayfa(lar) 188-190 |
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Cryptococcosis Cases in a University Hospital |
Asuman BİRİNCİ, Yeliz TANRIVERDi ÇAYCI, Gumral ALAKBAROVA |
Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Samsun |
Keywords: Cryptococcus neoformans, cryptococcosis, meningitis |
Cryptococcosis is caused by Cryptococcus neoformans, a
capsule-containing yeast. It enters the body predominantly
through inhalation of airborne fungal elements from an
environmental source. It frequently causes infections
specifically in immunosuppressed patients. The yeast mainly
invades central nervous system (CNS) and the lungs,
although widespread (disseminated) disease may develop.
Meningitis that develops as a result of the invasion of the
CNS, may not present with the classical symptoms. Analysis
of cerebrospinal fluid (CSF) shows lymphocytic pleocytosis,
increased protein , and reduced glucose levels in meningitis
cases. The samples are stained with Indian ink or nigrosin
stain. In Indian ink preparations, white budding organisms
are observed as colorless buddings against the dark
background. Culture is needed for definitive diagnosis. CSF
samples are cultivated on blood agar, Sabouraud dextrose
agar (SDA) without cycloheximide and liquid SDA. Culture
plates are incubated at 37°C for 24 hours. In our study we
investiagted six cryptococcosis cases isolated in microbiology
laboratory over 12 years. Information of patients were
obtained by examining patient files. It was determined that
two patients initially received treatment for TB meningitis.
Two patients were HIV positive and four of the six patients
were lost because of the infection.
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