An immunocompetent 24-year-old woman was referred to our hospital with viral meningitis that did not respond to treatment. Brain magnetic resonance imaging (MRI) revealed signs suggestive of acute disseminated encephalomyelitis. Cerebrospinal fluid (CSF) showed glucose levels of 64.8 mg/dL and protein levels of 65.6 mg/dL. CSF microscopy showed 42 cells/mm3, including polymorphs, lymphocytes, and yeast cells with atypical morphology. Grocott-Gomori's-methenamine-silver staining, India ink staining, and calcofluor white staining of CSF demonstrated the existence of unusual morphological features like pseudohypha formation, chains of budding yeasts, and structures resembling germ tubes (Figures A, Figure B and Figure C). Most of the cells were encapsulated. Sequencing identified yeast isolates grown on blood and CSF cultures as Cryptococcus neoformansvar. gattii. The isolate was sensitive to voriconazole, amphotericin B, fluconazole, and flucytosine. The patient succumbed to the infection despite initiating treatment with liposomal amphotericin B.
Gomori-methenamine-silver staining showing encapsulated pseudohyphal forms and germ-tube formation (100X).
Cryptococcus can deviate from its characteristic morphology as encapsulated budding yeast cells, presenting as pseudohyphae or germ tube-like structures11. Williamson JD, Silverman JF, Mallak CT, Christie JD,.Atypical cytomorphologic appearance of Cryptococcus neoformans: a report of five cases. Acta Cytol. 1996; 40(2):363-70.. In such instances, cryptococcal antigen detection using latex agglutination or culture identification should be used for a definitive diagnosis.
REFERENCES:
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1Williamson JD, Silverman JF, Mallak CT, Christie JD,.Atypical cytomorphologic appearance of Cryptococcus neoformans: a report of five cases. Acta Cytol. 1996; 40(2):363-70.
Publication Dates
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Publication in this collection
27 Jan 2020 -
Date of issue
2020
History
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Received
29 Aug 2019 -
Accepted
17 Oct 2019
