# Co-Infection of Pulmonary Aspergillosis and Cryptococcal Meningitis in an HIV-Positive Patient: A Case Report

## TL;DR

This case report describes an HIV patient with a very low immune cell count who developed two serious fungal infections at the same time.

## Contribution

The novelty lies in documenting a rare co-infection of pulmonary aspergillosis and cryptococcal meningitis in a late-diagnosed HIV patient.

## Key findings

- The patient had both pulmonary aspergillosis and cryptococcal meningitis.
- The infections occurred in an HIV-positive individual with a CD4 count below 100.
- This case highlights the risk of multiple opportunistic fungal infections in late-diagnosed HIV patients.

## Abstract

Opportunistic fungal infections (OFIs) are common among human immunodeficiency virus (HIV) –positive patients, especially in those with delayed diagnosis and treatment. Patients with severe HIV/AIDS with clusters of differentiation 4 (CD4) counts less than 100 are significantly prone to develop multiple OFIs. In the current study, we present a case of co-infection of pulmonary aspergillosis and cryptococcal meningitis in a late-diagnosed HIV patient with a low CD4 count.