Aims: To report the case of a 26 year old white man, who developed chronic meningitis and intracerebral granulomata 15 days after an episode of near drowning in a swamp.
Methods:Aspergillus fumigatus was isolated from cerebrospinal fluid cultures.
Results: The patient died 70 days after the symptoms were first noticed, and seven days after a subarachnoid haemorrhage. Aspergillus has never been reported before as a cause of intracranial infection after near drowning. Conclusions: Physicians must be aware of this possibility when confronted with such a situation, because there are now effective therapeutic options for systemic aspergillosis.
- near drowning
- Aspergillus sp
- brain abscess
- ALT, alanine aminotransferase
- AST, aspartate aminotransferase
- CAT, computerised tomography
- CNS, central nervous system
- CSF, cerebrospinal fluid
- IV, intravenous
- b.i.d., twice a day
- t.i.d., three times a day
- q.i.d., four times a day
- MRI, magnetic resonance imaging
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