Hallazgos imagenológicos en pacientes con criptococosis cerebral más VIH en el Hospital José Daniel Rodríguez Maridueña en el año 2018.

Abstract

Cryptococosis is considered an opportunistic disease that occurs in immunocompromised patients, is enhanced by its high mortality rate, being the Central Nervous System its main site of the form of presentation of Cryptococosis disseminated, which is why this is your most serious complication. It can occur in 60% or 70% of cases and are subacute meningitis (97%), subacute or chronic meningoencephalitis (2%) and cryptococoma (1%). Objective: To evaluate the imaging characteristics in HIV - AIDS patients with cerebral cryptococosis treated during 2018 in the Hospital of Infectology José Daniel Rodríguez Maridueña through the use of tomography and magnetic resonance correlated with the clinic. Methodology: A prevalence or cross-sectional study (observational, descriptive) was carried out since 2018 in all patients diagnosed with cerebral cryptococcosis plus confirmed HIV, who were admitted to the José Daniel Rodríguez Maridueña Hospital. Results: The prevalence of developing cryptococosis with HIV is 56.65% which corresponds to 149 cases of the 263 clinical histories that were obtained after analyzing the data, being the male sex with greater predominance (58.13%) with an average age of 37 years, It was also found that among the most common manifestations that occur are, thermal rise, headache. Ataxia and sensory impairment, among its imaging findings we have that the most common was brain atrophy (33.62%), in addition to presenting a CD4 in ategory 3 (75.54%) and high viral load (75.54%). Conclusion: Cryptococosis is considered as an opportunistic disease in patients with HIV, presenting among its most serious complications the affectation at the brain level, therefore and due to its complexity for its diagnosis the imaging study becomes a fundamental part, which is why MRI plays a major role in the early detection of this disease, allowing timely treatment in the patient and decreasing the morbidity-mortality rate.