New Cryptococcal Meningitis Post-Infection Syndrome?
A patient, after experiencing cryptococcal meningitis, is now suffering from severe neck pain and has lost vision in the right eye with a vision of 0.25 in the left eye. An ophthalmologist’s examination reveals papilledema and optic nerve atrophy, and suggests consulting a neurologist. Magnetic resonance imaging did not show significant abnormalities. The neck pain persists, and mannitol sometimes helps alleviate the pain but is not always effective. The cerebrospinal fluid examination shows glucose of 47 and protein of 730. The patient wants to know if there is still inflammation or other post-infection syndromes, and what medications are needed.
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