Cryptococcoma mimicking a brain tumor in an immunocompetent patient: A case and illustrative report

Carlos Fernando Nicolas-Cruz, Michael Ariza-Varon, Michel Gustavo Mondragón-Soto, Ariadna Suarez-Venegas, Rodolfo Villalobos-Diaz, Ricardo Marian-Magaña, Sergio Moreno-Jiménez, José Luis Soto-Hernández

Research output: Contribution to journalArticlepeer-review

Abstract

Cryptococcosis usually presents in immunocompromised patients, especially HIV infection, Immunocompetent patients may occasionally present with cerebral cryptococomas, which may be difficult to distinguish from other lesions like primary tumors or metastasis. We present one case that represents this diagnosis challenge. The first orientation for the correct diagnosis was found in the lumbar puncture with inflammatory CSF, presence of yeasts and a positive culture for Crypptococcus gatti. Subsequently, a brain biopsy confirmed the nature of the lesion. Cryptococcosis should be considered in differential diagnosis of tumors in the central nervous system in immunocompetent patients. and opportune assessment impact in the early treatment and can modify the outcomes of these patients.

Original languageEnglish
Article number101688
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume31
DOIs
StatePublished - Mar 2023
Externally publishedYes

Keywords

  • Brain neoplasms
  • Central nervous system
  • Cryptococcosis
  • Fungal infections
  • Immunocompetence

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