Central Nervous System Infection by Other Fungi

Candida is said to be the most common fungal infection of the CNS. About one half of the patients with Candida CNS infection have a lymphocytic pleocytosis and about one half show a predominance of neutrophilis. Some reports have indicated a surprisingly high rate of CNS involvement in the systemic mycoses (blastomycosis, 3%-10%; histoplasmosis, up to 50%; coccidioidomycosis, up to 50%). These fungi most often produce a lymphocytic pleocytosis, but neutrophils may predominate. Cerebrospinal fluid glucose levels are typically reduced but may be normal.