title: Central nervous system Aspergillus fumigatus infection after near drowning.
abstract: 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.
authors.affiliation: Neurology Division, Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, 80060-900, Curitiba, Brazil. cefaleia@hc.ufpr.br
authors.forename: P A
authors.initials: PA
authors.lastname: Kowacs
authors.forename: S
authors.initials: S
authors.lastname: Monteiro de Almeida
authors.forename: R L
authors.initials: RL
authors.lastname: Pinheiro
authors.forename: H
authors.initials: H
authors.lastname: Fameli
authors.forename: E J
authors.initials: EJ
authors.lastname: Piovesan
authors.forename: A
authors.initials: A
authors.lastname: Correia
authors.forename: L C
authors.initials: LC
authors.lastname: Werneck
mesh_terms: 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*