Recurrence of symptoms following cryptococcal meningitis - characterizing a diagnostic conundrum with multiple etiologies.
Nathan C BahrCaleb P SkipperKathy Huppler-HullsiekKenneth SsebambuliddeBozena M MorawskiNicole W EngenEdwin NuwagiraCarson M QuinnPrashanth S RamachandranEmily E EvansSarah M LofgrenMahsa AbassiConrad MuzooraMichael R WilsonDavid B MeyaJoshua RheinDavid R BoulwarePublished in: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America (2022)
Poor immune reconstitution was noted more often in relapse compared to IRIS as evidenced by lower CSF WBC counts and blood CD4 counts. These easily obtained lab values should prompt initiation of antifungal treatment while awaiting culture results.