Disseminated miliary cerebral candidiasis.
We present a case of disseminated intracranial infection by Candida albicans in a 5-year-old girl who had fever and a change of consciousness after surgery for complex congenital heart malformation. MR imaging revealed multiple small ring-enhancing hemorrhagic abscesses. One year after antifungal treatment, the abscesses and ventriculomegaly were almost completely resolved. The patient was discharged in a stable but vegetative condition.
Lai
P H
PH
Department of Radiology, Veterans General Hospital-Kaohsiung, National Yang Ming University, National Defense Medical Center, Taiwan, Republic of China.
Lin
S M
SM
Pan
H B
HB
Yang
C F
CF
D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001921:Brain / Q000473:pathology; D002177:Candidiasis / Q000175:diagnosis* / Q000628:therapy; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D015725:Fluconazole / Q000008:administration & dosage; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000628:therapy; D016921:Meningitis, Fungal / Q000175:diagnosis* / Q000628:therapy; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D017287:Ventriculoperitoneal Shunt
D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole