Perforation peritonitis due to gastrointestinal cryptococcosis as an initial presentation in an AIDS patient

Saha S, Agarwal N, Srivastava A, Kumar A
Correspondence: Dr Nitin Agarwal, drnitinagarwal76@gmail.com

ABSTRACT
A 30-year-old woman underwent exploratory laparotomy for perforation peritonitis. Primary repair of the jejunal perforation was performed. The ulcer edge biopsy revealed Cryptococcus. Subsequently ELISA was reactive for HIV-1 antibody. This report describes a rare case of cryptococcal jejunal perforation, which was the initial presentation in an AIDS patient.

Keywords: acquired immunodeficiency syndrome, cryptococcus, gastrointestinal cryptococcus, jejunal perforation
Singapore Med J 2008; 49(11): e305-e307