TITLE:
Cryptoccocal Neuromeningitis in Immunocompetent Infant in Bonassama District Hospital, Douala: A Case Report
AUTHORS:
Patricia Epée Eboumbou, Yanelle Wandji, Ritha Mbono Betoko, Hassanatou Iyawa, Charlotte Eposse, Danielle Kedy Koum, Calixte Ida Penda
KEYWORDS:
Cryptococcis, Meningitis, Immunocompetent, Infant
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.11 No.4,
December
22,
2021
ABSTRACT: Cryptococcosis is rare in
children. We report a case of cryptococcal meningitis in an infant whose mother
works as a poultry farmer (chicken farm). The infant was received in the context
of fever with convulsions. We performed a lumbar puncture and started
antibiotic treatment. Cerebrospinal fluid (CSF) analysis was performed
including Indian ink staining. CSF results showed the presence of yeast and we
replaced antibiotics with fluconazol-based treatment. After the loss of sight
and the appearance of a motor deficit, a brain scan was performed showing
cerebral edema. Several lumbar punctures were performed for 02 weeks until
partial recovery of visual acuity and motor deficit. This case highlights the
importance of taking into account the patient’s history when making the
diagnosis. In our case, the working conditions and the employment of the mother
guided the realization of the Indian ink coloring of the CSF. Treatment with fluconazol
continued for 22 weeks with a completely regained visual acuity and gradual
improvement in motor deficit despite limited resources.