Case report: Candida meningitis with an intradural filling defect 1 year after candidemia.
Candida albicans meningitis developed in a 55-year-old diabetic female, 1 year after catheter-associated candidemia. It was characterized by a protracted course, lack of meningeal signs, and the presence of an intradural filling defect within the caudal canal. Complete resolution of this filling defect with antifungal therapy implies that it probably represented an inflammatory mass. The development of meningitis after self-limiting candidemia and similar intradural filling defects have not been reported previously.
Sarmiento
R
R
St. John Hospital and Medical Center, Detroit, Michigan 48236.
Holubka
J
J
Khatib
R
R
D000666:Amphotericin B / Q000627:therapeutic use*; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use*; D016469:Fungemia / Q000503:physiopathology*; D006801:Humans; D016921:Meningitis, Fungal / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D013997:Time Factors
D000666:Amphotericin B; D015725:Fluconazole