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The first patient of the 3 had progressive cerebellar dysfunction as the result of chronic basilar meningitis. The second had a C8\u2010T1 radiculopathy without other evidence of superior sulcus syndrome, and subsequent acute fatal meningitis. The third had aseptic, benign, self\u2010limited meningitis followed by clinically obvios systemic blastomycosis.<\/jats:p><jats:p>Diagnosis is difficult, and it is likely that other cases have been presumptively treated for tuberculous meningitis. 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