AIDS Patient Care STDS. 2008 May;22(5):359-63.

Cryptococcal meningitis manifesting as a large abdominal cyst in a HIV-infected patient with a CD4 count greater than 400 cells/mm(3).

Crum-Cianflone N, Truett A, R Wallace M.

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Infectious Disease Clinic, Naval Medical Center, San Diego, California 92134-1005, USA. nancy.crum@med.navy.mil

Abstract

Cryptococcal meningitis usually occurs among HIV-positive patients with CD4 counts less than 100 cells/mm(3) and manifests as headaches, fevers, and mental status changes. We present an unusual case of cryptococcal meningitis in a 34-year-old HIV-positive man presenting as a large abdominal cyst at the ventriculoperitoneal shunt site despite receiving highly active antiretroviral therapy (HAART) for more than 5 years and having a CD4 count more than 400 cells/mm(3).

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