Mycotic aneurysms as lethal complication of brain pseudallescheriasis in a near-drowned child: a CT demonstration.
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.
Messori
Anna
A
Neuroradiological Clinic, General Hospital Umberto I, Ancona, Italy.
Lanza
Cecilia
C
De Nicola
Maurizio
M
Menichelli
Francesco
F
Capriotti
Tiziana
T
Morabito
Letterio
L
Salvolini
Ugo
U
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