Cryptococcus gattii meningoencephalitis in an HIV-negative patient from the Peruvian Andes

Ericson L. Gutierrez, Willi Valqui, Luis Vilchez, Lourdes Evangelista, Sarita Crispin, Mercedes Tello, Marcos Ñavincopa, Vilma Béjar, José Gonzáles, Alex G. Ortega-Loayza

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We report a case of an immunocompetent Peruvian patient from the Andes with a one-month history of meningoencephalitis. Cryptococcus gattii was identified from a cerebrospinal fluid culture through assimilation of D-proline and D-tryptophan as the single nitrogen source. Initially, the patient received intravenous antifungal therapy with amphotericin B. The patient was discharged 29 days after hospitalization and continued with oral fluconazole treatment for ten weeks. During this period, the patient showed clinical improvement with slight right-side residual weakness. Through this case report, we confirm the existence of this microorganism as an infectious agent in Peru.
Original languageAmerican English
Pages (from-to)469-471
Number of pages3
JournalRevista da Sociedade Brasileira de Medicina Tropical
StatePublished - 1 Jan 2010


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