Summary

• Typically presents as a progressive, life-threatening, chronic or subacute meningitis.
• Occurs most commonly in immunosuppressed individuals and is often accompanied by systemic involvement.
• Cerebrospinal fluid typically shows lymphocytic pleocytosis, elevated protein, and low glucose.
• The commonest type of fungal meningitis is cryptococcal meningitis.
• A rapid aetiological diagnosis is required to guide antifungal therapy.
• Complications include seizures, cerebral infarction, hydrocephalus, and elevated CSF pressure without hydrocephalus.