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Phaeohyphomycosis meningitis in an immunocompetent person: a case report and review of literature

Author:

Krishanko Das, Prof. Nandini Chatterjee, Prof. Shantasil Pain and Sourin Mukherjee

Subject Area:

Health Sciences

Abstract:

Fungal meningitis in an immunocompetent host is generally uncommon, and infections due to brown-black or dematiaceous fungi are distinctly rare. These are distinct neurotropic organisms causing mostly cerebral abscess and paranasal fungal sinusitis. We report an unusual case of dematiaceous fungal meningitis in a man with no significant co-morbidities and no other identifiable risk factors for disease. CV junction meningeal biopsy was done which revealed this organism. Since these are so infrequently seen in clinical practice, randomized clinical trials are impractical and there is no consensus regarding treatment. He was treated with empirical antifungals and fortunately, he responded to treatment.

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