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Cryptococcosis
Miral D. Jhaveri, MD, MBA
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Cryptococcus neoformans (CN)
            • C. gattii (CG)
          • Definitions

            • Fungal infection caused by C. CN and 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

                                  1. Beardsley J et al: Central nervous system cryptococcal infections in non-HIV infected patients. J Fungi (Basel). 5(3), 2019
                                  2. Friedman DZP et al: Emerging fungal infections: new patients, new patterns, and new pathogens. J Fungi (Basel). 5(3), 2019
                                  3. 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
                                  4. 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
                                  5. Franco-Paredes C et al: Management of Cryptococcus gattii meningoencephalitis. Lancet Infect Dis. 15(3):348-55, 2015
                                  6. Gottumukkala RV et al: Imaging of the brain in patients with human immunodeficiency virus infection. Top Magn Reson Imaging. 23(5):275-91, 2014
                                  7. 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
                                  8. Corti M et al: Magnetic resonance imaging findings in AIDS patients with central nervous system cryptococcosis. Rev Iberoam Micol. 25(4):211-4, 2008
                                  9. Thurnher MM et al: Neuroimaging in the brain in HIV-1-infected patients. Neuroimaging Clin N Am. 18(1):93-117; viii, 2008
                                  10. Bretaudeau K et al: [Cryptococcal meningo-encephalitis in an apparently immunocompetent patient.] Rev Neurol (Paris). 162(2):233-7, 2006
                                  11. 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
                                  12. Berkefeld J et al: Cryptococcus meningoencephalitis in AIDS: parenchymal and meningeal forms. Neuroradiology. 41(2):129-33, 1999
                                  13. 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. CN and 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

                                                                  1. Beardsley J et al: Central nervous system cryptococcal infections in non-HIV infected patients. J Fungi (Basel). 5(3), 2019
                                                                  2. Friedman DZP et al: Emerging fungal infections: new patients, new patterns, and new pathogens. J Fungi (Basel). 5(3), 2019
                                                                  3. 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
                                                                  4. 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
                                                                  5. Franco-Paredes C et al: Management of Cryptococcus gattii meningoencephalitis. Lancet Infect Dis. 15(3):348-55, 2015
                                                                  6. Gottumukkala RV et al: Imaging of the brain in patients with human immunodeficiency virus infection. Top Magn Reson Imaging. 23(5):275-91, 2014
                                                                  7. 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
                                                                  8. Corti M et al: Magnetic resonance imaging findings in AIDS patients with central nervous system cryptococcosis. Rev Iberoam Micol. 25(4):211-4, 2008
                                                                  9. Thurnher MM et al: Neuroimaging in the brain in HIV-1-infected patients. Neuroimaging Clin N Am. 18(1):93-117; viii, 2008
                                                                  10. Bretaudeau K et al: [Cryptococcal meningo-encephalitis in an apparently immunocompetent patient.] Rev Neurol (Paris). 162(2):233-7, 2006
                                                                  11. 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
                                                                  12. Berkefeld J et al: Cryptococcus meningoencephalitis in AIDS: parenchymal and meningeal forms. Neuroradiology. 41(2):129-33, 1999
                                                                  13. Miszkiel KA et al: The spectrum of MRI findings in CNS cryptococcosis in AIDS. Clin Radiol. 51(12):842-50, 1996