Advanced

AJNR - American Journal of Neuroradiology

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Messori, A. Articles by Salvolini, U. Search for Related Content PubMed PubMed Citation Articles by Messori, A. Articles by Salvolini, U.

American Journal of Neuroradiology 23:1697-1699, November-December 2002
© 2002 American Society of Neuroradiology

Case Report
PEDIATRICS

Mycotic Aneurysms as Lethal Complication of Brain Pseudallescheriasis in a Near-Drowned Child: A CT Demonstration

Anna Messori^a, Cecilia Lanza^a, Maurizio De Nicola^a, Francesco Menichelli^a, Tiziana Capriotti^c, Letterio Morabito^b and Ugo Salvolini^a

^a Neuroradiological Clinic, General Hospital "Umberto I", Children’s Hospital "G. Salesi," Ancona, Italy
^b Neurosurgical Clinic, General Hospital "Umberto I", Children’s Hospital "G. Salesi," Ancona, Italy
^c University of Ancona, and the Pediatric Neurology Department, Children’s Hospital "G. Salesi," Ancona, Italy

Address reprint requests to Professor Ugo Salvolini, Clinica di Neuroradiologia, Ospedale Generale "Umberto I" e Università degli Studi di Ancona, via Conca 1, Torrette di Ancona, 60020 Ancona, Italy

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.

This article has been cited by other articles:

				C. R. Thornton Tracking the Emerging Human Pathogen Pseudallescheria boydii by Using Highly Specific Monoclonal Antibodies Clin. Vaccine Immunol., May 1, 2009; 16(5): 756 - 764. [Abstract] [Full Text] [PDF]

				K. J. Cortez, E. Roilides, F. Quiroz-Telles, J. Meletiadis, C. Antachopoulos, T. Knudsen, W. Buchanan, J. Milanovich, D. A. Sutton, A. Fothergill, et al. Infections Caused by Scedosporium spp. Clin. Microbiol. Rev., January 1, 2008; 21(1): 157 - 197. [Abstract] [Full Text] [PDF]