A stroke mimic

Cryptococcal meningitis (CM) is an invasive mycosis with high morbidity and mortality. If unsuspected, particularly in immune-competent individual, delayed diagnosis may lead to poor outcome. High prevalence of tuberculous meningitis which shares similar clinical manifestations, further results in delayed diagnosis of CM. Stroke is a known complication of CM. Nevertheless, infection as a cause of stroke is poorly appreciated. We report a case of cryptococcal meningitis complicated by stroke to emphasize the complexities of management and value of early diagnosis for better outcome.