A rare case of fungal meningitis with atypical presentation in immunocompetent patient

Rajnish Kumar; Priyanka .

doi:10.18203/2320-6012.ijrms20182854

Authors

Rajnish Kumar Department of Internal Medicine, Suryadeep Hospital, Gurugram, Haryana, India
Priyanka . Department of Ophthalmology, Suryadeep Hospital, Gurugram, Haryana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20182854

Keywords:

Atypical presentation, Antifungal therapy, Altered mental status, HIV/AIDS, Lumbar puncture

Abstract

Fungal meningis is uncommon in general population especially in immunocompetent indivisuals. Meningitis, when caused by the fungal mycoses Cryptococcus neoformans, is normally seen in immunocompromised hosts. However, it is also seen in immunocompetent patients. In patients with an intact immune system, CM usually presents with the typical signs and symptoms of meningitis: fever, stiff neck, dizziness and headache. We report a rare case of fungal meningitis in a immunocompetent patient on antiseizure drugs for last 12 years misdiagnosed as phynetoin toxicity.

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