Opportunistic fungal infection that typically affects HIV(+) and other immunocompromised patients
Can occur in immunocompetent patients
Pulmonary infection with subsequent transfer of circulating Cryptococci into subarachnoid spaces, perivascular spaces (PVSs) = leptomeningitis
IMAGING
General Features
Imaging Recommendations
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Beardsley J et al: Central nervous system cryptococcal infections in non-HIV infected patients. J Fungi (Basel). 5(3), 2019
Friedman DZP et al: Emerging fungal infections: new patients, new patterns, and new pathogens. J Fungi (Basel). 5(3), 2019
Lahiri S et al: Clinical insights and epidemiology of central nervous system infection due to Cryptococcus neoformans/gattii species complexes: a prospective study from South India. Med Mycol. ePub, 2019
Li XQ et al: Comparison and correlation of magnetic resonance imaging and clinical severity in nonhuman immunodeficiency virus patients with cryptococcal infection of central nervous system. Chin Med J (Engl). 131(24):2930-7, 2018
Franco-Paredes C et al: Management of Cryptococcus gattii meningoencephalitis. Lancet Infect Dis. 15(3):348-55, 2015
Gottumukkala RV et al: Imaging of the brain in patients with human immunodeficiency virus infection. Top Magn Reson Imaging. 23(5):275-91, 2014
Starkey J et al: MRI of CNS fungal infections: review of aspergillosis to histoplasmosis and everything in between. Clin Neuroradiol. 24(3):217-30, 2014
Corti M et al: Magnetic resonance imaging findings in AIDS patients with central nervous system cryptococcosis. Rev Iberoam Micol. 25(4):211-4, 2008
Thurnher MM et al: Neuroimaging in the brain in HIV-1-infected patients. Neuroimaging Clin N Am. 18(1):93-117; viii, 2008
Bretaudeau K et al: [Cryptococcal meningo-encephalitis in an apparently immunocompetent patient.] Rev Neurol (Paris). 162(2):233-7, 2006
Saigal G et al: Unusual presentation of central nervous system cryptococcal infection in an immunocompetent patient. AJNR Am J Neuroradiol. 26(10):2522-6, 2005
Berkefeld J et al: Cryptococcus meningoencephalitis in AIDS: parenchymal and meningeal forms. Neuroradiology. 41(2):129-33, 1999
Miszkiel KA et al: The spectrum of MRI findings in CNS cryptococcosis in AIDS. Clin Radiol. 51(12):842-50, 1996
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Cryptococcus neoformans (CN)
C. gattii (CG)
Definitions
Fungal infection caused by C. CNand C. CG
Opportunistic fungal infection that typically affects HIV(+) and other immunocompromised patients
Can occur in immunocompetent patients
Pulmonary infection with subsequent transfer of circulating Cryptococci into subarachnoid spaces, perivascular spaces (PVSs) = leptomeningitis
IMAGING
General Features
Imaging Recommendations
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
Beardsley J et al: Central nervous system cryptococcal infections in non-HIV infected patients. J Fungi (Basel). 5(3), 2019
Friedman DZP et al: Emerging fungal infections: new patients, new patterns, and new pathogens. J Fungi (Basel). 5(3), 2019
Lahiri S et al: Clinical insights and epidemiology of central nervous system infection due to Cryptococcus neoformans/gattii species complexes: a prospective study from South India. Med Mycol. ePub, 2019
Li XQ et al: Comparison and correlation of magnetic resonance imaging and clinical severity in nonhuman immunodeficiency virus patients with cryptococcal infection of central nervous system. Chin Med J (Engl). 131(24):2930-7, 2018
Franco-Paredes C et al: Management of Cryptococcus gattii meningoencephalitis. Lancet Infect Dis. 15(3):348-55, 2015
Gottumukkala RV et al: Imaging of the brain in patients with human immunodeficiency virus infection. Top Magn Reson Imaging. 23(5):275-91, 2014
Starkey J et al: MRI of CNS fungal infections: review of aspergillosis to histoplasmosis and everything in between. Clin Neuroradiol. 24(3):217-30, 2014
Corti M et al: Magnetic resonance imaging findings in AIDS patients with central nervous system cryptococcosis. Rev Iberoam Micol. 25(4):211-4, 2008
Thurnher MM et al: Neuroimaging in the brain in HIV-1-infected patients. Neuroimaging Clin N Am. 18(1):93-117; viii, 2008
Bretaudeau K et al: [Cryptococcal meningo-encephalitis in an apparently immunocompetent patient.] Rev Neurol (Paris). 162(2):233-7, 2006
Saigal G et al: Unusual presentation of central nervous system cryptococcal infection in an immunocompetent patient. AJNR Am J Neuroradiol. 26(10):2522-6, 2005
Berkefeld J et al: Cryptococcus meningoencephalitis in AIDS: parenchymal and meningeal forms. Neuroradiology. 41(2):129-33, 1999
Miszkiel KA et al: The spectrum of MRI findings in CNS cryptococcosis in AIDS. Clin Radiol. 51(12):842-50, 1996
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