[Meningomyeloradiculitis in an immunocompetent patient].

INTRODUCTION

Candida infection limited to the central nervous system is extremely rare, and may be confused with tuberculosis on the grounds of the clinical and cerebrospinal fluid findings.

CASE REPORT: A 23-year-old immunocompetent drug addict presented with alternating sciatica over a period of several months, followed by multiple cranial nerve involvement in the setting of marked weight loss. The histopathologic examination of a leptomeningeal neurosurgical biopsy was required to establish the diagnosis of neuromeningeal infection with Candida albicans.

CONCLUSION

This case report underlines diagnostic difficulties of candidal meningitis and reviews current therapeutic recommendations.