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The Index Case for the Fungal Meningitis Outbreak in the United States
NEJM 367:2119-2125, Pettit, A.C.,et al, 2012
See this aricle in Pubmed

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 immuno competent 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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aspergillosis
central nervous system,infection of
cerebral infarction
cerebrospinal fluid,elevated protein of
cerebrovascular accident
epidemiology of neurology
epidural steroid
fever
fungal infection
fungal infection,CNS
headache
hypoglycorrhachia
iatrogenic neurologic disorders
immunocompetent
low back pain
meningitis
meningitis,fungal
mortality
MRI,abnormal
neuropathology
pleocytosis of cerebrospinal fluid
prognosis
seizure
steroid
steroid injection
steroid therapy,CNS treatment and complications with
subarachnoid hemorrhage
vasospasm,cerebral

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