[Cryptococcal meningitis disclosed by visual loss in HIV negative patient with ventriculo-atrial shunting].

INTRODUCTION

HIV infection is the main cause of cryptococcal neuromeningitis but other diseases may be associated with this infection.

CASE REPORT: We report a case of cryptococcal neuromeningitis in a patient with sarcoidosis and ventriculoatrial shunting. The patient was successfully treated by effective therapy without device withdrawal.

CONCLUSION

The relationship between cryptococcosis and sarcoïdosis has been already described and may be not fortuitous. However it remains a very rare complication of sarcoidosis. Because of its potential severity (mortality rate of 40%), the diagnosis of cryptococcosis should be evoked as a differential diagnosis of neuro-sarcoidosis.