CAMILLE A. KARAFFA, M.D.; SUSAN J. REHM, M.D.; THOMAS F. KEYS, M.D.
To the editor: Kovacs and associates (1) recently reviewed the clinical course and response to therapy of 27 patients with the acquired immunodeficiency syndrome (AIDS) and cryptococcosis. We report an additional case that may have instructive value to others.
A 41-year-old homosexual man was diagnosed with AIDS in December 1984, when he had Pneumocystis carinii pneumonia. In May 1985, he developed temperatures to 40.5 °C, a nonproductive cough, headaches, and diarrhea. Cultures of cerebrospinal fluid, blood, and urine all yielded Cryptococcus neoformans. His initial serum cryptococcal antigen titer was 1:131 072. The results of cerebrospinal fluid examination showed leukocytes, 2/mL;
KARAFFA CA, REHM SJ, KEYS TF. The Acquired Immunodeficiency Syndrome and Cryptococcosis. Ann Intern Med. ;104:891–892. doi: 10.7326/0003-4819-104-6-891
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Published: Ann Intern Med. 1986;104(6):891-892.
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