Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis

Eleftherios Mylonakis; Nathan A. Merriman; Josiah D. Rich; Timothy P. Flanigan; Beverly C. Walters; Karen T. Tashima; Maria D. Mileno; Charles M. Van Der Horst

doi:10.1016/S0732-8893(99)00025-5

Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis

Eleftherios Mylonakis, Nathan A. Merriman, Josiah D. Rich, Timothy P. Flanigan, Beverly C. Walters, Karen T. Tashima, Maria D. Mileno, Charles M. Van Der Horst

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Persistently elevated intracranial pressure (ICP) is one of the most accurate predictors of a poor prognosis in patients with AIDS-related cryptococcal meningitis. We present a severe case of persistent cryptococcal meningitis in a patient with advanced AIDS, complicated by elevation of ICP. A ventriculoperitoneal shunt was placed that successfully lowered the ICP and alleviated the associated symptoms. The elevated ICP secondary to AIDS-related cryptococcal meningitis should be treated aggressively. Despite the risk of shunt complications, cerebrospinal fluid shunts can be considered in these patients if they do not respond to other treatment. Copyright (C) 1999 Elsevier Science Inc.

Original language	English (US)
Pages (from-to)	111-114
Number of pages	4
Journal	Diagnostic Microbiology and Infectious Disease
Volume	34
Issue number	2
DOIs	https://doi.org/10.1016/S0732-8893(99)00025-5
State	Published - Jun 1999

ASJC Scopus subject areas

Microbiology (medical)
Infectious Diseases

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10.1016/S0732-8893(99)00025-5

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Mylonakis, E., Merriman, N. A., Rich, J. D., Flanigan, T. P., Walters, B. C., Tashima, K. T., Mileno, M. D., & Van Der Horst, C. M. (1999). Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis. Diagnostic Microbiology and Infectious Disease, 34(2), 111-114. https://doi.org/10.1016/S0732-8893(99)00025-5

Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis. / Mylonakis, Eleftherios; Merriman, Nathan A.; Rich, Josiah D. et al.

In: Diagnostic Microbiology and Infectious Disease, Vol. 34, No. 2, 06.1999, p. 111-114.

Research output: Contribution to journal › Article › peer-review

Mylonakis, E, Merriman, NA, Rich, JD, Flanigan, TP, Walters, BC, Tashima, KT, Mileno, MD & Van Der Horst, CM 1999, 'Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis', Diagnostic Microbiology and Infectious Disease, vol. 34, no. 2, pp. 111-114. https://doi.org/10.1016/S0732-8893(99)00025-5

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abstract = "Persistently elevated intracranial pressure (ICP) is one of the most accurate predictors of a poor prognosis in patients with AIDS-related cryptococcal meningitis. We present a severe case of persistent cryptococcal meningitis in a patient with advanced AIDS, complicated by elevation of ICP. A ventriculoperitoneal shunt was placed that successfully lowered the ICP and alleviated the associated symptoms. The elevated ICP secondary to AIDS-related cryptococcal meningitis should be treated aggressively. Despite the risk of shunt complications, cerebrospinal fluid shunts can be considered in these patients if they do not respond to other treatment. Copyright (C) 1999 Elsevier Science Inc.",

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AB - Persistently elevated intracranial pressure (ICP) is one of the most accurate predictors of a poor prognosis in patients with AIDS-related cryptococcal meningitis. We present a severe case of persistent cryptococcal meningitis in a patient with advanced AIDS, complicated by elevation of ICP. A ventriculoperitoneal shunt was placed that successfully lowered the ICP and alleviated the associated symptoms. The elevated ICP secondary to AIDS-related cryptococcal meningitis should be treated aggressively. Despite the risk of shunt complications, cerebrospinal fluid shunts can be considered in these patients if they do not respond to other treatment. Copyright (C) 1999 Elsevier Science Inc.

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Use of cerebrospinal fluid shunt for the management of elevated intracranial pressure in a patient with active AIDS-related cryptococcal meningitis

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