Cryptococcal Meningitis With Acute Psychotic Confusion in a Sarcoid Patient

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Sir: Cryptococcosis is a systemic fungal disease, usually caused by Cryptococcus neoformans, often transmitted by inhalation of dust or contaminated soil. The diagnosis of cryptococcal meningitis is difficult because of its various presentations. Non–HIV-contaminated patients may present brief mental confusion, coma, subacute or chronic meningitis, encephalitis, focal brain or spinal cord lesions, or mental changes.1–3

Prim Care Companion J Clin Psychiatry 2007;9(5):393-394 [letter]