Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly
Introduction Cryptococcosis is an opportunistic mycosis, especially in patients that are human immunodeficiency virus (HIV)-positive, and frequently involves the central nervous system. Methods We assessed the potential of ventriculoperitoneal shunting (VPS) in preventing mortality due to uncontroll...
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ftdoajarticles:oai:doaj.org/article:2168bd66d0f0494db875ae1bbf00f7ac 2023-05-15T15:01:34+02:00 Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly Marcelo Corti Maria Priarone Ricardo Negroni Leonardo Gilardi Jimena Castrelo Alicia Irene Arechayala Fernando Messina Osvaldo Franze 2014-07-01T00:00:00Z https://doi.org/10.1590/0037-8682-0176-2013 https://doaj.org/article/2168bd66d0f0494db875ae1bbf00f7ac EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000400524&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0176-2013 https://doaj.org/article/2168bd66d0f0494db875ae1bbf00f7ac Revista da Sociedade Brasileira de Medicina Tropical, Vol 47, Iss 4, Pp 524-527 (2014) Cryptococcus neoformans Cryptococcal meningitis Intracranial hypertension Ventriculoperitoneal shunts Arctic medicine. Tropical medicine RC955-962 article 2014 ftdoajarticles https://doi.org/10.1590/0037-8682-0176-2013 2022-12-31T03:21:41Z Introduction Cryptococcosis is an opportunistic mycosis, especially in patients that are human immunodeficiency virus (HIV)-positive, and frequently involves the central nervous system. Methods We assessed the potential of ventriculoperitoneal shunting (VPS) in preventing mortality due to uncontrollable intracranial hypertension (ICH) in 15 patients with acquired immunodeficiency syndrome (AIDS)-related cryptococcal meningitis. Results After 2 weeks of antifungal therapy consisting of amphotericin B deoxycholate with or without fluconazole, patients with persistent ICH underwent VPS, despite having persistent Cryptococcus neoformans infection. In 12 patients, the uncontrollable ICH was resolved by VPS. Conclusions Patients with cryptococcal meningoencephalitis who have ICH must be considered for VPS even with positive cerebrospinal fluid cultures. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 47 4 524 527 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Cryptococcus neoformans Cryptococcal meningitis Intracranial hypertension Ventriculoperitoneal shunts Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Cryptococcus neoformans Cryptococcal meningitis Intracranial hypertension Ventriculoperitoneal shunts Arctic medicine. Tropical medicine RC955-962 Marcelo Corti Maria Priarone Ricardo Negroni Leonardo Gilardi Jimena Castrelo Alicia Irene Arechayala Fernando Messina Osvaldo Franze Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
topic_facet |
Cryptococcus neoformans Cryptococcal meningitis Intracranial hypertension Ventriculoperitoneal shunts Arctic medicine. Tropical medicine RC955-962 |
description |
Introduction Cryptococcosis is an opportunistic mycosis, especially in patients that are human immunodeficiency virus (HIV)-positive, and frequently involves the central nervous system. Methods We assessed the potential of ventriculoperitoneal shunting (VPS) in preventing mortality due to uncontrollable intracranial hypertension (ICH) in 15 patients with acquired immunodeficiency syndrome (AIDS)-related cryptococcal meningitis. Results After 2 weeks of antifungal therapy consisting of amphotericin B deoxycholate with or without fluconazole, patients with persistent ICH underwent VPS, despite having persistent Cryptococcus neoformans infection. In 12 patients, the uncontrollable ICH was resolved by VPS. Conclusions Patients with cryptococcal meningoencephalitis who have ICH must be considered for VPS even with positive cerebrospinal fluid cultures. |
format |
Article in Journal/Newspaper |
author |
Marcelo Corti Maria Priarone Ricardo Negroni Leonardo Gilardi Jimena Castrelo Alicia Irene Arechayala Fernando Messina Osvaldo Franze |
author_facet |
Marcelo Corti Maria Priarone Ricardo Negroni Leonardo Gilardi Jimena Castrelo Alicia Irene Arechayala Fernando Messina Osvaldo Franze |
author_sort |
Marcelo Corti |
title |
Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
title_short |
Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
title_full |
Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
title_fullStr |
Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
title_full_unstemmed |
Ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
title_sort |
ventriculoperitoneal shunts for treating increased intracranial pressure in cryptococcal meningitis with or without ventriculomegaly |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2014 |
url |
https://doi.org/10.1590/0037-8682-0176-2013 https://doaj.org/article/2168bd66d0f0494db875ae1bbf00f7ac |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 47, Iss 4, Pp 524-527 (2014) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822014000400524&lng=en&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0176-2013 https://doaj.org/article/2168bd66d0f0494db875ae1bbf00f7ac |
op_doi |
https://doi.org/10.1590/0037-8682-0176-2013 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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47 |
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4 |
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524 |
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527 |
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