The authors report a case of cerebral aspergillosis associated with cryptoc
occal meningitis revealed by autopsy in an AIDS patient. These 2 opportunis
tic infections had already been diagnosed while the patient was alive but t
reatment had not eradicated either infectious agent. The qualitative and qu
antitative alteration of T lymphocytes but also of phagocytic cells (polynu
clear neutrophils and macrophages) may explain this therapeutic failure. (C
) 2000 Editions scientifiques et medicales Elsevier SAS.