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  • Title: Cryptococcal meningo-encephalitis after prolonged corticosteroid therapy.
    Author: Koeleman JG, Rustemeijer C, Wijermans PW, MacLaren DM.
    Journal: Neth J Med; 1990 Jun; 36(5-6):242-5. PubMed ID: 2203976.
    Abstract:
    We present a case of a 69-yr-old woman who developed cryptococcal meningo-encephalitis after 9 yr of corticosteroid therapy. The diagnosis was made on an India ink preparation and positive culture of the cerebrospinal fluid sediment. NMR-imaging was a useful tool for detecting intracerebral localisation of the infection. The patient was successfully treated with amphotericin B and flucytosine for 6 wk and with itraconazole for another 8 wk.
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