Introduction: Cryptococcosis is an opportunistic fungal infection
whose etiology is
Cryptococcus neofromans
/
C. gattii
, complex which
affects immunocompromised patients mainly. Meningeal infection
is one of the most common presentations, but cerebellar affection
is rare.
Case Description: Male patient with 65 old years, from an area
of subtropical climate with chronic exposure to poultry, without
pathological antecedents, who presented clinical picture consistent
with headache, fever, seizures and altered mental status.
Clinical findings and diagnostic methods: Initially without
menigeal signs or intracranial hypertension and normal
neurological examination. Later, the patient developed ataxia,
dysdiadochokinesia and limb loss. By lumbar punction and image
of nuclear magnetic resonance (NMR) cerebellitis cryptococcal was
diagnosticated.
Treatment: Antifungal therapy with amphotericin B and fluconazole
was performed, however the patient died.
Clinical Relevance: The cryptococcosis has different presentations,
it´s a disease whose incidence has been increasing since the
advent of the HIV / AIDS pandemy, however the commitment
of the encephalic parenchyma and in particular the cerebellum
is considered rare. In this way we are facing the first case of
cryptococcal cerebellitis in our midst.
