Certification Board of Infection Control and Epidemiology (CBIC) Practice Exam 2026 – The All-in-One Guide for Exam Success

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What is an expected characteristic of the CSF in patients with fungal meningitis?

Clear fluid with normal protein levels

A hazy appearance with normal sugar levels

Clear fluid with decreased protein levels

A hazy appearance with decreased sugar levels

In patients with fungal meningitis, the cerebrospinal fluid (CSF) typically presents with a hazy or turbid appearance due to the presence of fungal organisms and inflammatory cells. This characteristic can indicate the presence of an infectious process. Additionally, one of the key features of fungal meningitis is a decrease in glucose levels within the CSF. Fungi utilize glucose, leading to lower sugar levels when compared to viral or bacterial meningitis, where glucose levels are often maintained. This combination of a hazy appearance and decreased sugar levels is a classic finding in cases of fungal meningitis, supporting diagnosis and guiding appropriate treatment interventions.

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