sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Meningitis - cryptococcal: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Cryptococcal meningitis is a medical emergency once it is suspected.

    Seek emergency care now for:

    • New confusion, severe drowsiness, or loss of consciousness
    • A seizure
    • A severe or rapidly worsening headache
    • Repeated vomiting with headache
    • Sudden vision loss, weakness, or difficulty speaking
    • Trouble walking, breathing, or swallowing
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent same-day medical assessment for a persistent headache, fever, new vision changes, or unusual behaviour if you have advanced HIV, an organ transplant, cancer treatment, or another cause of severe immune suppression.

    During treatment, contact your care team urgently if symptoms return or worsen.

    Also report much less urine, severe weakness, yellowing of the skin or eyes, a new rash, or difficulty taking prescribed medicines.

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is used to monitor recovery, blood-test results, immune function, and medicine side effects.

    Keep these appointments even if you feel better, because treatment often needs to continue after symptoms improve.

Every sign above is quoted from the sofidex article on Meningitis - cryptococcal. If you are not sure, err upward — it is always reasonable to be checked.