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FUNGAL

MENINGITIS
By Hafizah, dr

PENDAHULUAN
Cryptococcus Neoformans

Central
Nervous
System
Infection

Fungal
Meningitis

Candida Spesies

Aspergilus Spesies

Cryptococcus Neoformans
C. Neoformans

Causes of death in sub-Saharan Africa, excluding


HIV/AIDS

Insidensi tertinggi
pada pasien
Imunokompromis
e pada AIDS
Sign and Symptoms
Headache
Fever
Neck Pain
Nausea and vomiting
Sensitivity to light
Confusion or changes in
behavior

Adapted from BJ Park et al., AIDS 2009;23:525-530

Candida Spesies

Penyebab
terbanyak dari
spesies candida
adalah Candida
Albicans

Lebih sering
terjadi pada bayi
dibandingkan
pada orang
dewasa

Symptoms
Fever
Chills

Aspergilus Spesies

Diagnostics Tests
Clinical
Manifestation

Neuroimaging
(CT Scan atau
MRI)

CSF
Cytochemical
Characteristic
s

Fungal Test

Treatment
Transplantasi organ

Insidensi
mortalitas
dan
morbiditas

Kemoterapi
Perawatan ICU
Pasien Imunokompromise
Keganasan hematologi

The
treatment
of fungal
CNS
infection is
influenced
by

Host
Pathogen
Drug Susceptibility
Drug Delivery across the blood brain
barrier
Drug activity in the CNS

TREATMENT
Combination
Fluconazole
Amphotericin B Candida
Cryptococcus
and/or
flucytosine
Candida
C. Neoformans

Itraconazole
Aspergilus

TERIMA KASIH

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