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Case Reports
. 2012 Nov 29;367(22):2119-25.
doi: 10.1056/NEJMoa1212292. Epub 2012 Oct 19.

The index case for the fungal meningitis outbreak in the United States

April C Pettit  1 , Jonathan A Kropski, Jessica L Castilho, Jonathan E Schmitz, Carol A Rauch, Bret C Mobley, Xuan J Wang, Steven S Spires, Meredith E Pugh
Affiliations
Free article
Case Reports

The index case for the fungal meningitis outbreak in the United States

April C Pettit et al. N Engl J Med. .
Free article

Abstract

Persistent neutrophilic meningitis presents a diagnostic challenge, because the differential diagnosis is broad and includes atypical infectious causes. We describe a case of persistent neutrophilic meningitis due to Aspergillus fumigatus in an immunocompetent man who had no evidence of sinopulmonary or cutaneous disease. An epidural glucocorticoid injection was identified as a potential route of entry for this organism into the central nervous system, and the case was reported to the state health department.

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