Demencia rápidamente progresiva por meningitis criptocócica: Reporte de caso

Contenido principal del artículo

Annelise Velasco de Azevedo-Pereira
Juan-Diego Martínez-Lemus
Delia Giraldo-Peñuela
Fabian Cervantes-de la Hoz
Neiry Zapa-Perez
Hellen Kreinter-Rosenbaun
Claudio Alejandro Jimenez-Monsalve

Resumen

Las demencias constituyen un grupo de enfermedades degenerativas que afectan diversos dominios dentro de la cognición humana. Si bien el curso habitual es crónico y progresivo, una proporción de pacientes desarrollan un deterioro subagudo en meses, formando una entidad denominada demencia rápidamente progresiva. Es necesario realizar un abordaje basado en la búsqueda activa de etiologías reversible, y su diagnóstico debe tenerse en cuenta no solo en pacientes inmunocomprometidos por el virus de la inmunodeficiencia humana, sino también en pacientes con otra causa de inmunosupresión. En el presente artículo reportamos el caso de un paciente inmunocomprometido por uso de corticoides que desarrolló una demencia rápidamente progresiva como la manifestación de una meningoencefalitis criptocócica.

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