Purpose:
To describe the ophthalmological characteristics, clinical course and visual
prognosis of HIV-AIDS patients with cryptococcal meningitis. Methods: Retrospective
study conducted in HIV-AIDS diagnosed outpatients treated at Dos de Mayo Hospital, from 2004 to
2014. Descriptive statistics were obtained for age, gender, associated diseases,
CD4 T cell counts, antiretroviral therapy (ART), cryptococcal meningitis
symptoms, relapses and visual complaints data. Diagnosis was based in CSF
analysis, Chinese dye and culture. CSF opening pressure was recorded.
Descriptive statistics were performed. Results: 18 cases were studied. 16 men
and 2 women. The range of age was 24 - 51 and median 33 years. Three patients
had been treated with ART. Tuberculosis was the most frequent associated
disease IN 5 cases (27.8%). Cryptoccocal meningitis relapses were present in 5 (27.8%). CD4 count below 50 was the most prevalent in 11
(61%). Thirteen had ocular symptoms, low visual acuity was present in the half
of cases and diplopia in 2 (11.1%). 13
(72.2%) coursed with headache. In eleven cases, the CSF opening
pressures had been reported, and the
range was 18 - 350 mm H2O, mean 67-6. CSF culture was obtained in 11
patients, it was positive in 7 (38.9%). Indian ink was positive in 16 (88.9%). Conclusion:
There was no blindness related with cryptococcal meningitis despite the higher
values of CSF opening pressure reported.
Cite this paper
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