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  • Title: Cryptococcus peritonitis a rare manifestation in HIV positive host: a case report.
    Author: Singh P, Joshi D, Gangane N.
    Journal: Diagn Cytopathol; 2011 May; 39(5):365-7. PubMed ID: 21488179.
    Abstract:
    Cryptococcus neoformans is an encapsulated yeast found ubiquitously in the environment and causes serious infections in immunocompromised populations. Disseminated disease is uncommon and very rarely manifests as peritonitis. We report a case of cryptococcal peritonitis in a HIV positive patient, who presented with distention of abdomen, vomiting, and dyspnoea, where the diagnosis was made on cytological smears of ascitic fluid. The importance of making a quick diagnosis utilizing cytological smears is emphasized and the cytological features are demonstrated. Disseminated cryptococcosis, particularly with peritonitis, is an uncommon manifestation of C. neoformans infection. A high clinical suspicion and early initiation of therapy is needed to recognize and treat patients effectively.
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