Primary Candida albicans empyema associated with epidural hematomas in craniocervical junction.
The case of a 27-year-old patient with chronic candida empyema in the craniocervical junction is presented. Occlusive hydrocephalus at admittance, primary subdural candida empyema, and recurrent epidural bleedings are the outstanding features in the clinical course. Despite intact immunity this patient acquired primary candidosis of CNS. Pathological changes in dura, ventricular system, and CSF required multiple shunt revisions. Antimycotic therapy was performed with a combination of 3 antimycotics. The clinical improvement was prolonged by several complications.
Duffner
F
F
Department of Neurosurgery, University of Tübingen, Germany.
Brandner
S
S
Opitz
H
H
Klier
R
R
Grote
E H
EH
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D001933:Brain Stem / Q000382:microbiology / Q000473:pathology*; D002177:Candidiasis / Q000188:drug therapy / Q000473:pathology*; D002574:Cervical Vertebrae; D013354:Empyema, Subdural / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D015725:Fluconazole / Q000627:therapeutic use; D005437:Flucytosine / Q000627:therapeutic use; D006407:Hematoma, Epidural, Cranial / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000382:microbiology / Q000473:pathology; D012886:Skull / Q000382:microbiology / Q000473:pathology*; D013117:Spinal Cord Compression / Q000188:drug therapy
D000666:Amphotericin B; D015725:Fluconazole; D005437:Flucytosine