{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:46:26Z","timestamp":1791740786584,"version":"4.3.4"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"abstract":"<jats:p>\n                    We report a rare case of disseminated\n                    <jats:italic toggle=\"yes\">cryptococcosis gattii<\/jats:italic>\n                    infection with initial central nervous system manifestations in a 28-year old male under regular treatment for systemic lupus erythematosus since 2020. He presented with headache evolving into hearing loss, hypogeusia, amblyopia and mental confusion. This case highlights the challenge of diagnosing opportunistic fungal infections in patients with chronic immuno-suppression, emphasizing how early targeted management is critical to mitigate severe neurological sequelae and reduce mortality.\n                  <\/jats:p>","DOI":"10.1177\/00494755261495754","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:31:01Z","timestamp":1791455461000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disseminated cryptococcosis in systemic lupus erythematosus: Case report"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4988-9814","authenticated-orcid":false,"given":"Gabriel Nery da Silva","family":"Menezes","sequence":"first","affiliation":[{"name":"Associa\u00e7\u00e3o Beneficente Santa Casa de Campo Grande-ABCG"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7558-4831","authenticated-orcid":false,"given":"Eduardo R\u00e1faga Gon\u00e7alves","family":"Calvoso","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o Beneficente Santa Casa de Campo Grande-ABCG"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-024-03318-w"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcae126"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(97)90391-6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1710922"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.4.741"},{"key":"e_1_3_3_7_2","volume-title":"Guidelines for the Diagnosis, Prevention and Management of Cryptococcal Disease","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. Guidelines for the Diagnosis, Prevention and Management of Cryptococcal Disease. WHO, 2022, Available from: https:\/\/who.int (accessed 21 May 2026)."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0049475515621652"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261495754","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261495754","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261495754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:07:15Z","timestamp":1791738435000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261495754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":7,"alternative-id":["10.1177\/00494755261495754"],"URL":"https:\/\/doi.org\/10.1177\/00494755261495754","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"article-number":"00494755261495754"}}