[Central nervous system mycoses in AIDS with the exception of cryptococcosis. Apropos of 3 anatomo-clinical cases].
Fungal infections of the central nervous system are uncommon in human immunodeficiency virus infected patients. The most frequently encountered is cerebromeningeal cryptococcosis. We report 3 clinicopathological cases of rarer fungal infections of the central nervous system in AIDS patients due to Candida and Aspergillus genders. In most cases, a systemic candida infection or aspergillus pulmonary infection preceded the onset of cerebral granulomas or abscesses. These infections usually occurred at the terminal stage of the disease and were associated with other neuropathologies. Neutropenia associated with lymphopenia represents a frequent risk factor along with intravenous catheter.
Dorandeu
A
A
Service d'Anatomie Pathologique, Faculté de Médecine Paris-Ouest, Hôpital R. Poincaré, Garches, France.
Chrétien
F
F
Dubreuil-Lemaire
M L
ML
Flament-Saillour
M
M
De Truchis
P
P
Durigon
M
M
Gray
F
F
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D000328:Adult; D001228:Aspergillosis / Q000150:complications / Q000473:pathology; D002177:Candidiasis / Q000150:complications / Q000473:pathology; D002493:Central Nervous System Diseases / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000150:complications* / Q000382:microbiology / Q000473:pathology