Meningitis Due to Candida (Monilia) Albicans With Recovery

Reports of meningitis due to Candida (Monilia) albicans have been rare. A review of the literature reveals that only 3 cases have been reported until the present time.1All have ended fatally despite therapeutic measures which consisted of iodide preparations, sulfonamide drugs, high voltage roentgen ray and others. In the most recent case, which was reported by Morris and associates,1cthe patient had widespread fungous disease involving the skin, oral mucous membranes and nails. In this case the organism was demonstrated on direct smear in the spinal fluid. Clinically, because of a high cerebrospinal fluid pressure, headache, papilledema and results of ventriculographic studies, a diagnosis of intraventricular block was suggested. This was somewhat confirmed by the postmortem observation of a granulomatous lesion involving the ependymal structures. This case had many similarities to the one reported here, the points of similarity being the meningeal involvement, the involvement of the