title: Mycotic aneurysms as lethal complication of brain pseudallescheriasis in a near-drowned child: a CT demonstration.
abstract: 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.
authors.affiliation: Neuroradiological Clinic, General Hospital Umberto I, Ancona, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Messori
authors.forename: Cecilia
authors.initials: C
authors.lastname: Lanza
authors.forename: Maurizio
authors.initials: M
authors.lastname: De Nicola
authors.forename: Francesco
authors.initials: F
authors.lastname: Menichelli
authors.forename: Tiziana
authors.initials: T
authors.lastname: Capriotti
authors.forename: Letterio
authors.initials: L
authors.lastname: Morabito
authors.forename: Ugo
authors.initials: U
authors.lastname: Salvolini
mesh_terms: D020314:Central Nervous System Fungal Infections / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000209:etiology; D015701:Near Drowning / Q000150:complications / Q000175:diagnosis*; D011541:Pseudallescheria; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed