lisinopril and Hypothyroidism

New imaging techniques have allowed for the rapid and accurate diagnosis of stroke. In this case, we present a 58-year-old woman with multiple large vessel strokes on magnetic resonance imaging. The initial diagnostic workup centered on a rapidly progressive central nervous system vasculitis. Subsequent workup revealed an unusual infectious etiology--cryptococcal meningitis. Although fungal infections can cause vasculitis, this is the first report of a patient with multiple anterior and posterior circulation strokes secondary to Cryptococcus. The diagnosis in cases presenting with encepalopathy and without fever is often delayed.

Topics: Antihypertensive Agents; Diabetes Mellitus, Type 2; Diagnosis, Differential; Diuretics; Female; Furosemide; Humans; Hyperlipidemias; Hypertension; Hypothyroidism; Insulin; Lisinopril; Liver Cirrhosis; Low Back Pain; Magnetic Resonance Imaging; Meningitis, Cryptococcal; Middle Aged; Obesity; Osteoarthritis; Prednisone; Stroke; Thyroxine; Vasculitis, Central Nervous System