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The common symptoms in cryptococcal meningitis are chronic headache and nausea/vomiting respectively. Impairment of visual acuity and hearing loss are less common finding, both of which can be found in the late stage of the disease. Lymphocytic pleocytosis in cerebrospinal fluid analysis is a common laboratory finding. A 42 year-old, farmer, male patient whose diagnosis was cryptococcal meningitis presented with acute headache, rapidly followed by visual and hearing loss and eosinophilic pleocytosis in CSF is reported. Diagnostic approach will be discussed in details.
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