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Fungal Meningitis

Signs & Symptoms

 Corticosteroid use
Ref: Epocrates [ https://online.epocrates.com/diseases/54132/Fungal-meningitis/Risk-Factors]
Persistent headache
Ref: Uptodate [ Coccidioidal meningitis]
Unusual severity of the headache
Ref: Uptodate [ Coccidioidal meningitis]
Blurring of vision
Ref: Uptodate [ Coccidioidal meningitis]

Physical Examination

 Increased intracranial pressure
Ref: Uptodate [ Coccidioidal meningitis]
Intention tremor
Ref: Uptodate [ Coccidioidal meningitis]
Changes in mental status
Ref: Uptodate [ Coccidioidal meningitis]

Lab / Serology

 Lymphocytic majority in CSF
Ref: Uptodate [ Coccidioidal meningitis]
Low CSF glucose
Ref: Epocrates [ https://online.epocrates.com/diseases/54134/Fungal-meningitis/Diagnostic-Tests]
Positive CSF anticoccidioidal antibodies
Ref: Uptodate [ Coccidioidal meningitis]

Imagin Study

 Basilar meningitis
Ref: Uptodate [ Coccidioidal meningitis]
Meningeal enhancement in the posterior fossa
Ref: Uptodate [ Coccidioidal meningitis]
Vasculitic infarctions
Note: due to inflammation of small-sized blood vessels, due to inflammation of middle-sized blood vessels
Ref: Uptodate [ Coccidioidal meningitis]

Complication

 Vertebral artery aneurysm
Ref: Uptodate [ Coccidioidal meningitis]
Cerebral infarction
Note: due to arteritis
Ref: Uptodate [ Coccidioidal meningitis]
Meningioma-like masses
Ref: Uptodate [ Coccidioidal meningitis]

Risk Factors

 African American
Ref: Epocrates [ https://online.epocrates.com/diseases/54132/Fungal-meningitis/Risk-Factors]

Cause

 Candida albicans Gr. Infants
Note: Candida albicans is a relatively common cause of meningitis in premature infants or infants younger than 1 month
Ref: Epocrates [ https://online.epocrates.com/diseases/54132/Fungal-meningitis/Risk-Factors]

Other