Cryptococcal meningitis in a patient with idiopathic CD4+ T lymphopenia

• Autores: Esquivel Luna, Jeremy Stefan, Zelada Ríos, Laura Carolina, Bejarano Ferreyra, José Humberto
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Colegio Médico del Perú
• Repositorio: Acta Médica Peruana
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/2123
• Enlace del recurso: https://amp.cmp.org.pe/index.php/AMP/article/view/2123
• Nivel de acceso: acceso abierto
• Materia: Meningitis; Cryptococcal; T-Lymphocytopenia; Idiopathic CD4-Positive Lymphopenia; Immunologic Deficiency Syndromes; HIV; Perú

Infection with the human immunodeficiency virus (HIV) is the main risk factor for developing cryptococcal meningitis. However, there is a poorly known entity, idiopathic CD4+ T-cell lymphopenia, which leads to an unexplainable CD4+ circulating T-cell deficit, predisposing patients to many complications, including infections caused by opportunistic microorganisms. We present the case of a patient with cryptococcal meningitis secondary to idiopathic T-CD4+ lymphopenia, which, as far as we know, is the very first case of its kind reported in Peru. This entity should be considered in patients negative for HIV infection developing non-common infections of the central nervous system, since outcome, management, and prognosis may be different in patients with this condition.