title: [A case of Aspergillus brain abscess presenting angular gyrus syndrome].
abstract: A 45-year-old man had been treated for chronic alcoholism and he had fever in September 2000. He was diagnosed as lung aspergillosis from chest X-ray findings, leukocytosis, elevated CRP, and beta-D-glucan. Administration of fluconazole was started and his lung lesion subsided. But, generalized clonic tonic convulsion developed and the brain abscess in the left parietal lobe was found by CT. Therefore we made the diagnosis of brain abscess followed by lung aspergillosis. He also showed angular gyrus syndrome. Its capsule was thick and localized in the left parietal lobe. The patient had the surgical resection in August, 2001. Aspergillus hyphae and infiltration of inflammatory cells were seen in the brain sample, therefore the diagnosis of aspergillosis brain abscess was established. Angular gyrus syndrome was ameliorated after the operation.
authors.affiliation: Division of Neurology, Department of Internal Medicine, Miyazaki University School of Medicine, Miyazaki-gun, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Imazu
authors.forename: Takekazu
authors.initials: T
authors.lastname: Ohi
authors.forename: Shougo
authors.initials: S
authors.lastname: Yazawa
authors.forename: Naoki
authors.initials: N
authors.lastname: Asami
authors.forename: Kazuki
authors.initials: K
authors.lastname: Nabeshima
mesh_terms: D001922:Brain Abscess / Q000150:complications*; D003704:Dementia / Q000209:etiology; D004830:Epilepsy, Tonic-Clonic / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020953:Neuroaspergillosis / Q000150:complications*