Phys Clinical Cases · infectious

Fungal Infections — DCE Clinical Case

DCE long-case clinical station: comprehensive assessment of a 34-year-old man with HIV (CD4 24) who presents with a 3-week history of progressive headache, photophobia, and confusion, diagnosed with cryptococcal meningitis with an opening pressure of 38 cm of water — covering the three-phase antifungal regimen, the single most important principle of raised intracranial pressure management with serial therapeutic lumbar punctures, the timing of antiretroviral therapy and the IRIS risk, the AMBITION and ACTA evidence, and the long-term consolidation, maintenance, and prophylaxis plan — structured for FRACP DCE and MRCP PACES.