간경화증 환자에 병발된 Cryptococcal meningitis의 1례 = A Case of Cryptococcal Meningitis Complicated in Liver Cirrhosis

다국어 초록 (Multilingual Abstract)

The most common fungal etiology of central nervous system infection is C. Neoformans and above a half of whole cases are complicated in immunosuppressive disease.
A case of cryptococcal meningitis, complicated in liver cirrhosis, was presented with review of references.
The chief complaint was drowsy mental state and physical findings were severe general weakness, blindness of left eye, deafness of left ear, decreased liver dullness, neck stiffness, positive Kernig sign and right Babinski sign, urinary incontinence and decreased calculation power. Diagnostic work up was performed under the impression of liver cirrhosis accompanied by meningitis.
C. S. F. smear and culture for cryptococcus revealed as positive.
After administration of garlic oil and amphotericin-B, illness was recovered progressively exception of deafness, blindness and mild degree of walking disturbance.