Fungal meningitis causes: Difference between revisions

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=== Causes in Alphabethical Order ===
=== Causes in Alphabethical Order ===
{{columns-list|2|
{{columns-list|2|*[[Alternaria]]
*Arthrographis kalrae
*Arthrographis kalrae
*[[Aureobasidium]]
*[[Aspergillus]] spp
*[[Aspergillus]] spp
*[[Blastomyces]] spp
*[[Blastomyces]] spp
Line 222: Line 221:
*[[Cryptococcus neoformans]]
*[[Cryptococcus neoformans]]
*Exserohilum
*Exserohilum
*[[Exophiala]] (Wangiella)
*[[Fungal endophthalmitis|Fungal]] eye infections
*[[Fungal endophthalmitis|Fungal]] eye infections
*[[Histoplasma capsulatum]]
*[[Histoplasma capsulatum]]
Line 228: Line 228:
*[[Pneumocystis jirovecii]]
*[[Pneumocystis jirovecii]]
*Pseudoallescheria boydii
*Pseudoallescheria boydii
*[[Rhodotorula ]]
*[[Sporothrix schenckii]]
*[[Sporothrix schenckii]]
*Xylohypha (formerly [[cladosporium]])
*Xylohypha (formerly [[cladosporium]])

Revision as of 22:31, 3 February 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby; Prince Tano Djan, BSc, MBChB [2]

Overview

Fungal meningitis is initially caused by the inhalation of airborne fungal spores. The pulmonary infection is usually self limiting and can be asymptomatic. The most common cause of fungal infection is cryptococcus neoformans which is usually found in soil and bird excreta.[1]

Causes

Life-Threatening Causes

Life-threatening conditions may result in death or permanent disability within 24 hours if left untreated. Fungal meningitis is a life-threatening condition and must be treated as such irrespective of the causes.

Most common cause

The most common cause of fungal meningitis is:[2][3][4]

Common causes

Common causes of fungal meningitis include:[5][6][7][4][8]


The common causes of fungal meningistis may be classified into two subgroups.

1. Primary fungal pathogens of humans

All of these may cause CNS infections. These group include:

  • Dematiaceous fungi[23]

2. Secondary fungal pathogens of humans

The second group is considered opportunistic, which take advantage of significant immune defects in the host. This group includes:

Less common causes

There are some rare causes of fungal meningitis. Some specific historical feature usually surround the outbreak of raare causes of fungal meningitis. For example, outbreaks of fungal meningitis in 2002 with Exophiala (Wangiella) dermatitidis and more recently in 2012 with Exserohilum rostratum were associated with contamination of compounded corticosteroids with resultant severe complications.[33][34][35]

Some of the rare causes include the following:[36][37][38][39][40]

  • Arthrographis spp[37]

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease Arthrographis kalrae, Aspergillus spp, Blastomyces spp, Candida spp, Cladosporium, Coccidioides immitis, Coccidioidomycosis, Cryptococcus albidus, Cryptococcus gattii infection, Cryptococcus neoformans, Exserohilum, Fungal eye infections, Histoplasma capsulatum, Histoplasmosis, Mucormycosis, Pneumocystis jirovecii, Pseudallescheria boydii (Scedosporium apiospermum), Sporothrix schenckii, Xylohypha (formerly cladosporium), Alternaria spp,[41]Rhodotorula spp, [42] Acremonium spp.,[43] Dreschlera spp,[44] Malassezia spp,[45] Scedosporium spp,[46] Arthrographis spp,[37] Blastoschizomyces,[47][48] Paecilomyces,[49][50] Aureobasidium,[51] Clavispora,[52] Ustilago,[53] Exophiala (Wangiella),[54] Exserohilum,[35]
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy No underlying causes
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous No underlying causes

Causes in Alphabethical Order

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2

References

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  2. Koroshetz WJ. Chapter 382. Chronic and Recurrent Meningitis. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison's Principles of Internal Medicine. 18th ed. New York: McGraw-Hill; 2012.
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