칸디다 뇌막염 4예

Abstract

Candida meningitis is rare, but has been increas ingly recognized in recent years. It can occur spontaneously, or as a complication of dis seminated candidiasis, or as a complication of neurosurgery. Records of all pos itive CSF cultures at the Younsei University College of Medicine during the period of January 1993 to June 1998 were reviewed retrospectively. Four cases of Candida meningitis were encountered in a 5- year period. We describe four cases and review previous reports regarding Candida meningitis. Three cases occurred in patients with shunts who underwent neurosurgical procedures. One case was identified as a complication of disseminated candidiasis in a low- birth- weight infant, that had been administered previous sys temic broad spectrum antibiotics and intravenous hyperalimentation. (Korean J Med 59:550- 554, 2000)