Fungal meningitis manifesting as hydrocephalus

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1: Arch Intern Med. 1983 Apr;143(4):728-31. Related Articles, Links

Fungal meningitis manifesting as hydrocephalus.

Mangham D, Gerding DN, LR, Sarosi GA.

Four patients with fungal meningitis and hydrocephalus were treated

by placement of intraventricular shunts prior to the diagnosis of

infection. As a consequence, they were subjected to the risks of

surgery as well as to shunt suprainfection. We suggest that chronic

meningitis be ruled out in all patients prior to placement of

shunts. Preoperative evaluation should include the examination of

cisternal or ventricular CSF when a lumbar CSF specimen is

nondiagnositc. When fungal meningitis is present, a course of

amphotericin B should be initiated and the CSF sterilized prior to

the placement of the permanent extracranial shunt. Where acute

hydrocephalus supervenes, temporary ventricular drainage may be

employed. In some cases of fungal meningitis, the symptoms of

hydrocephalus will be resolved with antifungal therapy alone,

obviating the need for ventricular decompression.

Publication Types:

Case Reports

PMID: 6340624 [PubMed - indexed for MEDLINE]