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Papilledema on Fundoscopy Ocular Examination

Papilledema in a patient with cryptococcal meningitis

Dr. Sebastian Vega @oftalmopo

#Papilledema #cryptococcus #meningitis
a patient with cryptococcal ... meningitis Dr ... #Papilledema #cryptococcus ... #meningitis #Ocular
IDSA Treatment Recommendations for Cryptococcal Meningoencephalitis - Induction, Consolidation and Maintenance Therapy

Table 2. Antifungal Treatment Recommendations
Recommendations for Cryptococcal ... Recommendations for Cryptococcal ... Recommendations for Cryptococcal ... Treatment #management #meningitis ... #cryptococcus
Important Fungal Stains
Mycology Lab:
 • Calcofluor white - Fluorochrome that binds glucans and chitin in fungal
polysaccharide capsule of Cryptococcus ... detection for cryptococcal ... meningitis; some ... mucopolysaccharide capsule of Cryptococcus ... cell walls of Cyptococcus
Papilledema on Fundoscopy Ocular Examination

31 year old male with cryptococcal meningitis. CD4 count 44, 1 year
old male with cryptococcal ... meningitis. ... #Papilledema #cryptococcus
IDSA Treatment Recommendations for Cryptococcal Meningoencephalitis in Human Immunodeficiency Virus Infected Individuals
Induction therapy:
 • AmBd (0.7–1.0
Recommendations for Cryptococcal ... week) >1 year #Cryptococcal ... Treatment #management #meningitis ... #cryptococcus #
IDSA Treatment Recommendations for Cryptococcal Meningoencephalitis in Transplant Recipients
Induction therapy:
 • liposomal AmB (3–4 mg/kg per
Recommendations for Cryptococcal ... year B-III #Cryptococcal ... Treatment #management #meningitis ... #cryptococcus #
Initiation of ART in HIV patients with Opportunistic Infections
 • Pulmonary TB and CD4 cell count
regardless of CD4 • Cryptococcal ... Meningitis
Causes of Culture Negative Abscess - Differential Diagnosis Framework
Consider prior antibiotics as a cause of a
negative culture Brain ... : Aspergillus, Cryptococcus ... nocardia - Fungal: Cryptococcus ... Coccidiomycosis, Cryptococcus
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
(Histoplasma, Cryptococcus ... failure, COPD, Lung ... ABG, BDG, Serum Cryptococcal
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
lesions • 80% with lung ... histoplasmosis, cryptococcus ... RingEnhancing #Lesions #Brain