Central nervous system Aspergillus fumigatus infection after near drowning.
OBJECTIVE
To report the case of a 26 year old white man, who developed chronic meningitis and intracerebral granulomata 15 days after an episode of near drowning in a swamp.


METHODS
Aspergillus fumigatus was isolated from cerebrospinal fluid cultures.


RESULTS
The patient died 70 days after the symptoms were first noticed, and seven days after a subarachnoid haemorrhage. Aspergillus has never been reported before as a cause of intracranial infection after near drowning.


CONCLUSIONS
Physicians must be aware of this possibility when confronted with such a situation, because there are now effective therapeutic options for systemic aspergillosis.
Kowacs
P A
PA
Neurology Division, Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, 80060-900, Curitiba, Brazil. cefaleia@hc.ufpr.br
Monteiro de Almeida
S
S
Pinheiro
R L
RL
Fameli
H
H
Piovesan
E J
EJ
Correia
A
A
Werneck
L C
LC
D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis* / Q000209:etiology; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D016921:Meningitis, Fungal / Q000175:diagnosis* / Q000209:etiology; D015701:Near Drowning / Q000150:complications*