Abstract
BackgroundAcute vision loss in the post-partum period can occur due to many reasons. Eclampsia, posterior reversible encephalopathy syndrome (PRES), pituitary apoplexy, and central serous retinopathy are some of the important causes. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not been mentioned in literature.Case presentationA 25-year-old female presented to us with acute bilateral complete vision loss in the post-partum period. Her serum was tested positive for HIV antibodies. Cerebrospinal fluid (CSF) examination revealed cryptococcal meningitis. She was started on amphotericin B, antiretroviral drugs, and steroids. Though symptoms of meningitis resolved after treatment no significant improvement in vision was observed at 3 months.ConclusionsCryptococcal meningitis may be considered as one of the causes of acute vision loss in pregnant/post-partum females with human immunodeficiency virus (HIV) positivity.
Highlights
Acute vision loss in the post-partum period can occur due to many reasons
This leads to increased susceptibility of pregnant females to opportunistic infections like tuberculosis and cryptococcal meningitis
Cryptococcal disease is very uncommonly seen in human immunodeficiency virus (HIV) infected pregnant females and to date only three cases of HIV infection with cryptococcal meningitis have been reported during the peripartum period [4]
Summary
Cryptococcal meningitis may be considered as one of causes of acute vision loss in HIV-infected pregnant females with suggestive symptoms; needless to say that a high index of suspicion should be kept to diagnose the condition.
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