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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Pettit, AC; Kropski, JA; Castilho, JL; Schmitz, JE; Rauch, CA; Mobley, BC; Wang, XJ; Spires, SS; Pugh, ME

Published Date

  • November 29, 2012

Published In

Volume / Issue

  • 367 / 22

Start / End Page

  • 2119 - 2125

PubMed ID

  • 23083311

Electronic International Standard Serial Number (EISSN)

  • 1533-4406

Digital Object Identifier (DOI)

  • 10.1056/NEJMoa1212292


  • eng

Conference Location

  • United States