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Central nervous system Aspergillus fumigatus infection after near drowning

Abstract

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
  • aspergillosis
  • brain abscess
  • meningitis
  • 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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