Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

BMC Infectious Diseases

Case Report

Hardeep Singh Malhotra¹  Ravindra Kumar Garg¹  Ravi Uniyal¹  Aniruddha More¹  Neeraj Kumar¹ 

[1] Department of Neurology, King George Medical University, PIN-226003, Lucknow, Uttar Pradesh, India;

关键词: Acquired immune deficiency syndrome;    Human immunodeficiency virus;    Meningitis;    Optic nerve;   

DOI  :  10.1186/s12879-016-1925-0

 received in 2016-07-07, accepted in 2016-10-12,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundAcute vision loss in the post-partum period can occur due to many reasons. Eclampsia, posterior reversible encephalopathy syndrome (PRES), pituitary apoplexy, and central serous retinopathy are some of the important causes. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not been mentioned in literature.Case presentationA 25-year-old female presented to us with acute bilateral complete vision loss in the post-partum period. Her serum was tested positive for HIV antibodies. Cerebrospinal fluid (CSF) examination revealed cryptococcal meningitis. She was started on amphotericin B, antiretroviral drugs, and steroids. Though symptoms of meningitis resolved after treatment no significant improvement in vision was observed at 3 months.ConclusionsCryptococcal meningitis may be considered as one of the causes of acute vision loss in pregnant/post-partum females with human immunodeficiency virus (HIV) positivity.

【 授权许可】

CC BY   
© The Author(s). 2016