RT Journal Article
SR Electronic
T1 Mycotic Aneurysms as Lethal Complication of Brain Pseudallescheriasis in a Near-Drowned Child: A CT Demonstration
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1697
OP 1699
VO 23
IS 10
A1 Messori, Anna
A1 Lanza, Cecilia
A1 De Nicola, Maurizio
A1 Menichelli, Francesco
A1 Capriotti, Tiziana
A1 Morabito, Letterio
A1 Salvolini, Ugo
YR 2002
UL http://www.ajnr.org/content/23/10/1697.abstract
AB Summary: Intracranial true mycotic aneurysms are rare and generally lethal. We report a case of a near-drowned child with brain abscesses due to Pseudallescheria boydii, a saprophytic fungus, who died after subarachnoid hemorrhage occurred. CT showed contrast-enhancing lesions indicative of aneurysms of basilar and right posterior cerebral arteries that could not be appreciated 2 days before. P. boydii is often resistant to commonly used antimycotic drugs. Because CNS infection is frequently associated with near-drowning, early diagnosis and specific therapy are strongly recommended for these patients.