title: [Meningitis to Candida albicans at the adult, use of the new diagnosis methods].
abstract: Candida albicans or non-albicans are a frequent source of infection but seldom displayed in cerebrospinal fluid although responsible of an important number of nosocomial meningitis. Diagnosis is difficult which often delays treatment, which in turn hinders prognostic. This clinical case shows a patient afflicted with a deadly C. albicans meningitis and allows us to focus on new diagnostic tools and advice against this infection.
authors.affiliation: Département d'anesthésie-réanimation, hôpital Nord, chemin des Bourrelly, 13015 Marseille, France. Electronic address: garyduclos@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Duclos
authors.affiliation: Département d'anesthésie-réanimation, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Dumont
authors.affiliation: Laboratoire de mycologie médicale, hôpital de la Timone, université Aix-Marseille - Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Ranque
authors.affiliation: Département d'anesthésie-réanimation, hôpital Nord, chemin des Bourrelly, 13015 Marseille, France.
authors.forename: L
authors.initials: L
authors.lastname: Zieleskiewicz
authors.affiliation: Département d'anesthésie-réanimation, hôpital de la Timone, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: N
authors.initials: N
authors.lastname: Bruder
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000935:Antifungal Agents / Q000627:therapeutic use; D002176:Candida albicans; D003428:Cross Infection / Q000175:diagnosis / Q000628:therapy; D005437:Flucytosine / Q000627:therapeutic use; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D016921:Meningitis, Fungal / Q000134:cerebrospinal fluid / Q000175:diagnosis*; D008875:Middle Aged; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D016133:Polymerase Chain Reaction; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000935:Antifungal Agents; D005437:Flucytosine
keywords: ARN 18S; Amphotericin B; Amphotéricine B; Candida albicans; Flucytosine; MALDI-ToF; Mannane; Meningitis; Méningite; Neurochirurgie; Neurosurgery; PCR