Table 1.

Case Presentation, Lab and Imaging Summary

	Case 1	Case 2	Case 3
Ages	78	78	70
Gender	Male	Female	Female
Presenting symptoms and signs	Headache, left sided weakness, dysarthria	Headache, vertigo, nausea, dysmetria, ataxia	Headache, nuchal rigidity, fever, dysarthria, dysmetria
Last epidural injection prior to admission	2 weeks	2 weeks	One month
CSF results:	N/A
Nucleated cells (per μL)		2,974	1485
Polymorphonuclear cells (%)		93	53
Lymphocytes (%)		4	36
Red cells (per μL)		468	6
Protein (mg/dL)		245	290
Glucose mg/dL)		28	12
Gram stain		No bacteria	No bacteria
Bacterial culture		No growth	No growth
CDCa Exserohilum PCR		Positive	Negative
AFB culture		No growth	No growth
Aspergillus antigen index		Negative	Negative
Methenamine silver stain		N/A	Negative
Initial Imaging results	Pontine/midbrain small vessel ischemic stroke	Pontine, cerebellar ischemic strokes suggesting large vessel etiology	Thalamic/internal capsule small vessel ischemic stroke
Pathologic/Autopsy results	Exserohilum rostratum	Fungus with hyphal features	N/A

^aCenters for Disease Control