title: Brown Heroin-Associated Candida albicans Ventriculitis and Endophthalmitis Treated with Voriconazole.
abstract: Chronic meningitis and ventriculitis are defined as inflammatory pleocytoses in the cerebrospinal fluid (CSF) and ependyma that persists for at least 1 month without spontaneous resolution. Because the CSF communicates directly with the posterior compartments of the eye, fungal infections in the brain often cause secondary ophthalmologic complications. We report a 23-year-old male who presented to the emergency room with progressive severe headaches associated with insidious monocular vision loss. After extensive workup and a multidisciplinary team effort, the patient was diagnosed with ventriculitis and endogenous endopthalmitis. The etiology is suspected to be due to brown heroin use with secondary disseminated Candida albicans.
authors: Geisinger Medical Center, Department of Neurology, Danville, Pa., USA.
authors: Nora
authors: N
authors: Elfiky
authors: Geisinger Medical Center, Department of Neurology, Danville, Pa., USA.
authors: Kelly
authors: K
authors: Baldwin
keywords: Brown heroin; Candida albicans; Chronic meningitis; Endopthalmitis; Fungal meningitis; Ventriculitis