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Chronic meningitis caused by Trichosporon beigelii in India
1Microbiology Department, Christian Medical College Hospital, Vellore, India.
Mycoses
|March 1, 1995
Abstract:
A 36-year-old woman developed fatal meningitis following a myelogram. Trichosporon beigelii could be grown from the cerebrospinal fluid (CSF) on two occasions. This represents the first culture-proven case of meningitis due to Trichosporon beigelii.
Insights
A rare fungal meningitis caused by Trichosporon beigelii occurred in a woman after a myelogram. This is the first documented case of meningitis proven to be caused by this specific fungus.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Neurology
Background:
- Myelography is an imaging procedure that involves injecting contrast dye into the cerebrospinal fluid (CSF) to visualize the spinal cord and nerve roots.
- Fungal meningitis is a serious infection of the membranes surrounding the brain and spinal cord, often associated with immunocompromised individuals.
Observation:
- A 36-year-old woman presented with symptoms of meningitis shortly after undergoing a myelogram.
- Cerebrospinal fluid (CSF) analysis revealed the presence of Trichosporon beigelii on two separate occasions.
Findings:
- The patient developed fatal meningitis, with the causative agent identified as Trichosporon beigelii.
- This case marks the first culture-proven instance of meningitis attributed to Trichosporon beigelii.
Implications:
- Highlights the potential risk of opportunistic fungal infections following invasive neurological procedures like myelography.
- Underscores the importance of considering rare fungal pathogens in the differential diagnosis of meningitis, especially in post-procedural settings.
- Suggests a need for enhanced vigilance and potentially revised protocols for aseptic techniques during myelography to prevent rare but severe complications.