🦠microbiology review

Cryptococcal meningitis

Written by the Fiveable Content Team • Last updated September 2025
Written by the Fiveable Content Team • Last updated September 2025

Definition

Cryptococcal meningitis is a severe fungal infection of the central nervous system caused primarily by Cryptococcus neoformans. It often affects immunocompromised individuals, such as those with HIV/AIDS.

5 Must Know Facts For Your Next Test

  1. Cryptococcus neoformans is an encapsulated yeast that can cross the blood-brain barrier.
  2. The primary treatment for cryptococcal meningitis involves antifungal drugs like amphotericin B and flucytosine.
  3. Diagnosis typically includes cerebrospinal fluid (CSF) analysis, where India ink staining and cryptococcal antigen testing are used.
  4. Cryptococcal meningitis can lead to high intracranial pressure, necessitating therapeutic lumbar punctures to relieve symptoms.
  5. Resistance to antifungal drugs in Cryptococcus species is relatively rare but can complicate treatment.

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