Meningeal cryptococcosis in a pancreas transplant recipient requiring grafectomy: A case report

Table 1 Timeline of the patient's precedent surgical procedures

Year	Procedure
2008	Pancreaticoduodenectomy due to solid pseudopapillary pancreas neoplasm
2009	Distal pancreatectomy and splenectomy due to insulinoma
2010	Pancreas transplantation for optimization of glycemic control
2012	Ventral hernia repair
2017	Excision of the basal cell carcinoma on the nose

Table 2 Extended laboratory findings at admission

Cell count
White blood count	14230/mL
Platelet count	14400/mL
Hemoglobin	87 g/L
Hematopoietic cell transplant	0.241 L/L
Electrolites
Sodium	138 mmol/L
Potassium	3.1 mmol/L
Chemistry
Urea	14.7 mmol/L
Creatinine	139 umol/L
C-reactive protein	2.3 mg/L
Enzymes
Aspartate aminotransferase	9 U/L
Alanine aminotransferase	7 U/L
Gamma-glutamyl transferase	22 U/L
Alkaline phosphatase	30 U/L
Coagulation profile
Prothrombin time ratio	0.94 s
Activated partial thromboplastin time	20 s
Fasting glucose	2.3 g/L

Table 3 Extended laboratory findings at discharge

Cell count
White blood count	10000/mL
Platelet count	44600/mL
Hemoglobin	93 g/L
Hematopoietic cell transplant	0.277 l/L
Electrolites
Sodium	136 mmol/L
Potassium	4.3 mmol/L
Chemistry
Urea	8.1 mmol/L
Creatinine	94 μmol/L
C-reactive protein	19.2 mg/L
Enzymes
Aspartate aminotransferase	17 U/L
Alanine aminotransferase	9 U/L
Gamma-glutamyl transferase	49 U/L
Alkaline phosphatase	149 U/L
Coagulation profile
Prothrombin time ratio	1.27 s
Activated partial thromboplastin time	21.3 s
Fasting glucose	3.2 g/L