Treatment:

Antifungal medications are used to treat this form of meningitis. Intravenous therapy with amphotericin B is the most common treatment. It is often combined with an oral medication, 5-flucytosine. An oral medication, fluconazole, in high doses may also be effective against this infection.

Expectations (prognosis):

People with AIDS need long-term treatment with medication, to prevent the infection from coming back.

Complications:

Obstructive hydrocephalus is a complication. This occurs when the infection disrupts the normal movement of CSF around the brain and spinal cord. A tube called a shunt, which moves CSF around the obstruction, can relieve the pressure.

Amphotericin B can have side effects, including chills and stiffness, and sometimes kidney damage.

Calling your health care provider:

Call the local emergency number (such as 911) or go to the emergency room if you have symptoms of meningitis, or if you are being treated for meningitis and your symptoms get worse.

Go to the emergency room as quickly as possible if you have:

• Changes in your senses or mental state
• Difficulty breathing or swallowing
• Numbness
• Paralysis