Case Report
Fatal Invasive Cryptococcal Infection in an HIV-Negative Elderly Patient with Decompensated Hepatic Cirrhosis
Table 2
Cirrhosis-related cryptococcosis; Japanese experiences.
| | Reference | Age/Gender | Causes of liver cirrhosis | Symptoms | Cryptococcal infection | Treatment | Outcome (survival) |
| 1 | Nakamura 2016 | 68/F | PBC | fever | peritonitis fungemia | MCFG | Died (32 days) | 2 | Haga 2015 | 59/M | HCV | dyspnea PE | pulmonary, MRSA | surgery | Died (8 days) | 3 | Hokari 2010 | 58/F | PBC | diarrhea | systemic | VCM | Died (16 days) | 4 | Akiyama 2010 | 64/M | Alcohol | seizure | meningitis | AMPH-B F-FLCZ | Died (23 days) | 5 | Mitomi 2004 | 43/M | Alcohol | headache fever, general malaise | meningitis | FLCZ AMPH-B | Died (57 days) | 6 | Touge 1999 | 60/M | HBV | headache nausea | meningitis | FLCZ | Alive | 7 | Arata 1996 | 58/M | NA | fever cavernous lung mass | pulmonary/ meningitis | FLCZ | Alive (22 days+) | 8 | Miyazaki 1993 | 70/M | HCV | disturbed consciousness | meningitis | FCLZ | Alive | 9 | Yoshizawa 1992 | 58/M | NA | fever dyspnea | fungemia systemic | antibiotics | Died | 10 | Okazaki 1990 | 43/M | NA | disturbed consciousness | systemic | NA | Died | 11 | Yamamoto 1990 | 32/M | NA | fever headache hematemesis | meningitis | 5-FC MCZ | Alive | 12 | Present case | 82/F | HBV | general malaise hypotension coma | fungemia | none | Died (4 days) |
|
|
Abbreviations. PBC=primary biliary cirrhosis, HBV=hepatitis B virus, HCV=hepatitis C virus, NA=not available, PE=pleural effusion, MRSA= Methicillin-resistant Staphylococcus aureus, MCFG=Micafungin, VCM=Vancomycin, AMPH-B=Amphotericin-B, F-FLCZ= fosfluconazole, FLCZ= fluconazole, 5-FC= flucytosine, MCZ= miconazole.
|