The pathophysiological characteristics of fungal meningitis
in this outbreak resemble other CNS fungal infections, with
fungal angioinvasion and vasculitis resulting in thrombosis
and infarction. An apparent predilection of Exserohilum for
the basilar structures of the brain was notable and may be the result of spread of organisms through the CSF from the lumbar subarachnoid space to the brain,