Invasive Fungal Sinusitis and Meningitis Due to Arthrographis kalrae in a Patient with AIDS

AUTOR(ES)

Chin-Hong, Peter V.

FONTE

American Society for Microbiology

RESUMO

We report the first described case of Arthrographis kalrae pansinusitis and meningitis in a patient with AIDS. The patient was initially diagnosed with Arthrographis kalrae pansinusitis by endoscopic biopsy and culture. The patient was treated with itraconazole for approximately 5 months and then died secondary to Pneumocytis carinii pneumonia. Postmortem examination revealed invasive fungal sinusitis that involved the sphenoid sinus and that extended through the cribiform plate into the inferior surfaces of the bilateral frontal lobes. There was also an associated fungal meningitis and vasculitis with fungal thrombosis and multiple recent infarcts that involved the frontal lobes, right caudate nucleus, and putamen. Post mortem cultures were positive for A. kalrae.

Documentos Relacionados

• First Case of Arthrographis kalrae Ethmoid Sinusitis and Ophthalmitis in the People's Republic of China
• Acute invasive fungal sinusitis in immunocompromised children
• Post-laser in situ keratomileusis interface Arthrographis kalrae keratitis
• Invasive Fungal Sinusitis Caused by Scytalidium dimidiatum in a Lung Transplant Recipient
• Invasive infection due to Saprochaete capitata in a young patient with hematological malignancies