Research Article

Cryptococcal Meningitis: A Retrospective Cohort of a Brazilian Reference Hospital in the Post-HAART Era of Universal Access

Table 1

Baseline characteristics of 79 patients with cryptococcal meningitis.

Variable

Age, years; mean (range)37 (5–67)
Age ≥50 years; N (%)17 (21.5)
Sex, male N (%)45 (56.9)
Time of hospitalization,days; mean (range)28 (1–149)
Type of immunosuppression (%)
HIV65 (82.3)
SOTR8 (10.1)
NHNT6 (7.6)
HIV patients
Dx during hospitalizationa14 (17.7)
Vertical transmission of HIV3 (3.7)
Receiving HAART at Dx34 (43.0)
CD4, cells/mm³ mean (range)34 (3–428)
HIV viral load, log; mean (range)5.01 (2.18–6.16)
SOTR patients (%)
Kidney5 (10.1)
Liver3 (10.1)
Duration of transplant, years
General; mean (range)2.12 (0–7.35)
Kidney; mean (range)3.58 (0.25–7.36)
Liver; mean (range)2.12 (0–7.35)
Other concomitante conditions (%)
Use of corticosteroids8 (10.1)
Chronic kidney disease2 (2.5)
Cancer4 (5.1)
Rheumatic disease2 (2.5)
Diabetes mellitus3 (3.8)
Cirrhosis2 (2.5)
Cryptococcus species complex
C. neoformans76 (96.2)
C. gattii3 (3.8)
Duration of symptoms, days; mean (range)10 (1–120)
Rehospitalization6 (7.5)
30-day mortality15 (19.1)
60-day mortality19 (24.4)

SOTR, solid organ transplant recipients; NHNT, non-HIV nontransplant; ESRD, end-stage renal disease. aDiagnosis of HIV concomitant with neurocryptococcosis.