Tuesday, April 29, 2025

33M Alcoholic Chronic Cryptococcus Meningitis

 


29-04-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

Afternoon session: 33M with fever and headache for three months

Yesterday admitted in delirium

On examination: Meningeal signs not very definitive 

Past alcoholic but stopped due to illness for the last few months

CSF showed these attached organisms along with protein of 105 mg/dl and sugar 45 mg/dl and 20 cells








[29-04-2025 15.38] PPM 1: @PPM2 @PPM3 Last time remember we couldn't procure Amphotericin B and had to refer the patient and we don't have any clue as to what is happening to all these patients for who are unable to procure amphotericin B! @PPM4 @PPM5 @PPM6 do you see such patients in your Telangana practice? How do you procure amphotericin for them?


No comments:

Post a Comment