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Cryptococcosis (torulosis)    331


Cryptococcosis (Torulosis)& 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   & 757j92h nbsp;   331

General: A pulmonary infection caused by Cryptococcus neoformans, a saprophyte found in weathered pigeon droppings, soil, and unpasteurized cow's milk; infection acquired through respiratory system and usually manifests as meningoencephalitis; higher incidence in patients with AIDS.

Ocular: Blurred or poor vision; diplopia; uveitis; papilledema; retinal detachment; retinal hemorrhage and exudates; secondary glaucoma; vitreous reaction; retinitis; proptosis; a mass over the optic nerve head; disease process can be bilateral or unilateral; cranial nerve VI palsy; visual loss; conjunctivitis.



Clinical: Severe headache; dizziness; ataxia; vomiting; tinnitus; memory disturbances; jacksonian convulsions; fever usually is absent; occurs frequently in patients with leukemia or lymphoma.

Avendano J, et al. Ocular cryptococcosis. Am J Ophthalmol 110-l13.

Balmes R, et al. Conjunctival cryptococcosis preceding human immunodeficiency virus seroconversion. Am J Ophthalmol 1992; 113:719-721.

Cohen DB, Glasgow BI Bilateral optic nerve cryptococcosis in sudden blindness m patients with acquired immune deficiency syndrome. Ophthalmology 1993; 100:1689-l694.

Duane TD. Clinical Ophthalmology. Philadelphia: JB Lippincott, 1987.

Hester DE, et al. Isolated ocular cryptococcosis in an immunocompetent patient. Ophthalmic Surg 1992; 23:129-l31.

Kestelyn P, et al. Ophthalmic manifestations of infections with Cryptococcus neoformans in patients with the acquired immunodeficiency syndrome. Am J Ophthalmol 1993; 116:721-72 7.

Kupfer C, et al. A possible cause of decreased vision in cryptococcal meningitis. Invest Ophthalmol 1974; 13: 801-804.

Lesser RL, et al. Cryptococcal meningitis and internal ophthalmoplegia. Am J Ophthalmol 1979; 87:682-687.




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