Bibliographic Info
GuidelineGuidelines for the diagnosis, prevention, and management of cryptococcal disease in HIV-infected adults, adolescents and children, March 2018: supplement to the 2016 consolidated guidelines of the use of antiretroviral drugs for treating and preventing HIV infection
Year of Publication2018
Issuing InstitutionWorld Health Organization
Recommendation
Status
Updated
For people who present with cryptococcal meningitis relapse, the following steps are advised:
- Start or restart induction treatment according to the recommendations
for induction treatment in section 3.3.
- Manage raised intracranial pressure with therapeutic lumbar puncture
(see section 3.6.1).
- Reinforce adherence.
- If ART has not already started, initiating ART after 4–6 weeks of optimal
antifungal therapy is recommended (see section 3.7 on recommendations on the timing of ART initiation).