Case ReportsA Case Report Mixed Meningoencephalitis by Aspergillus fumigatus and a Pigmented Mold in a Young Woman With No Evident ImmunosuppressionMaldonado-Díaz, Ellis Daniela MD, MSc∗; Delgado-Hernández, Rosa Delia MD†; Salinas-Lara, Citlaltepetl MD‡; Soto-Hernández, José Luis MD∗; Cárdenas, Graciela MD, PhD∗Author Information From the Departments of ∗Neuroinfectology †Neuroimaging ‡Neuropathology, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico. Correspondence to: Graciela Cárdenas, MD, PhD, Department of Neuroinfectology, Instituto Nacional de Neurología y Neurocirugía, Insurgentes Sur 3877, La fama, 14269, Mexico City. E-mail: email@example.com. The authors have no funding or conflicts of interest to disclose. Infectious Diseases in Clinical Practice: May 2020 - Volume 28 - Issue 3 - p 163-168 doi: 10.1097/IPC.0000000000000828 Buy Metrics AbstractIn Brief Fungal meningitis is often a fatal condition, particularly in immunosuppressed patients. Herein, we describe the case of a previously healthy young woman with a history of epidural anesthesia for a cesarean delivery in another hospital 3 months prior. The patient complained of chronic migraine-like headache before admission to our center. After 5 weeks, a cerebrospinal fluid culture in Sabouraud agar grew a mold, later identified as Aspergillus fumigatus. The patient died after 114 days of hospitalization despite being administered with voriconazole for 45 days. At autopsy, a pigmented mold consistent with phaeohyphomycosis was found, suggesting an unusual case of a mixed mold infection. Fungal meningitis is often a fatal condition, particularly in immunosuppressed patients. The authors describe the case of a woman with a chronic migraine-like headache after epidural anesthesia for a cesarean delivery before admission to their center. After five weeks of hospitalization, a cerebrospinal fluid culture in Sabouraud agar grew Aspergillus. The patient died after 114 days of hospitalization despite being treated with voriconazole for 45 days. At autopsy, a pigmented mold consistent with phaeohyphomycosis was found. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.