This fungus is found in soil and in pigeon droppings. The cryptococcus organism has an affinity for the brain. Once infected the onset of neurological symptoms is gradual. The majority of people have meningoencephalitis at the time of diagnosis. Of the opportunistic fungal infections, cryptococcus is the most frequently seen life-threatening infection in AIDS patients.
Some infections require no treatment.
However, medical observation should continue for a year to detect progression of the disease. If pulmonary lesions are present or the disease spreads, antifungal medications are prescribed, and treatment with these agents may be prolonged. Central nervous system involvement often has a fatal outcome, or leads to permanent damage. Complications relapse of infection meningitis Calling Your Health Care Provider Call your health care provider if symptoms develop that are suggestive of cryptococcosis. Prevention Minimize doses of corticosteroid medications.