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Cryptococcal meningitis

Cryptococcal meningitis (said: KRIP-tuh-KOK-ul MEN-in-JI-tis) is an infection that affects the brain and spinal cord. It is caused by a fungus (such as mold or mildew). The fungus can be found in dust, soil, and bird droppings.

What you should know about cryptococcal meningitis:

  • The infection can be very dangerous. People die if it is not treated
  • It is mostly seen in people with CD4 cell counts below 50
  • If you have any of these symptoms for more than 3 days, call your healthcare provider right away, or go to the hospital:
    • The worst headache you have ever had
    • Dizziness or confusion
    • Fever of 100°F or more
    • Feeling sick to your stomach (nausea)
    • Throwing up (vomiting)
    • Neck and body aches
    • Pain in your eyes from the light
  • A blood test or taking fluid from your spinal cord (spinal tap) is done to see if you have this infection
  • Here are ways it can be treated:
    • Mild cases are often treated with antifungal medicine
    • More serious cases are treated with 2 different medicines
    • If your CD4 cell count is very low but you do not have this infection, your healthcare provider might recommend that you take a medicine that fights fungus (an antifungal) every day. This can keep you from getting the disease

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