Meningitis Due to Apiotrichum mycotoxinivorans: A Rare Case Report

A young adult male presented as a case of meningitis in the background of a ventriculoperitoneal shunt in situ, uncontrolled type 1 diabetes and a history of treated abdominal tuberculosis. The patient presented with complaints of high-grade fever, non-projectile vomiting, headache and drowsiness. He was eventually diagnosed as a case of fungal meningitis. The patient's cerebrospinal fluid analysis (CSF) analysis revealed budding yeast cells and the culture revealed Apiotrichum mycotoxinivorans. This is a yeast-like fungus that is known to cause opportunistic infections in an immunocompromised host. This is a rare cause of fungal meningitis and very few cases have been reported worldwide. This is the first case of Apiotrichum mycotoxinivorans-associated meningitis reported from India.