A 28-year-old woman with HIV/AIDS (CD4 <50 cells/μL) presents with severe headache, fever, and neck stiffness. Vital signs show temperature 39.2°C, blood pressure 98/62 mmHg, and heart rate 110 bpm. CSF analysis reveals elevated protein (400 mg/dL), low glucose (20 mg/dL), and positive India ink stain. No focal neurological deficits are noted. Which of the following organisms is most likely responsible for her meningitis?
- A)Cryptococcus neoformansGABARITO
- B)Histoplasma capsulatum
- C)Candida albicans
- D)Coccidioides immitis
- E)Aspergillus fumigatus
Explicação
Cryptococcal meningitis is the classic presentation of a severely immunocompromised patient with positive India ink stain showing encapsulated yeasts. It is the most common cause of meningitis in patients with CD4 <100 cells/μL. CSF shows high protein, low glu... Ver explicação completa e trilha adaptativa →