[Vasculitis secondary to fungal infections].
THE FUNGI INCRIMINATED: Cerebral vascular lesions are frequently observed in the rhino-cerebral localisations of aspergillosis and mucormycosis, and during cerebral coccidioidomycosis, but far more rarely in neuro-meningeal cryptococcosis and histoplasmosis. Other fungi are occasionally at the origin of vasculitis. THE CONTEXT: Diagnosis is difficult to establish. It should be evoked in immunodepressed patients presenting with clinical and radiological manifestations of cerebral vasculitis. AS FAR AS TREATMENT IS CONCERNED: Treatment relies on antifungal therapy. Steroids and/or anticoagulants can be envisaged in some patients.
Zeller
Valérie
V
Service de médecine interne et rhumatologie, Groupe hospitalier Diaconesses - Croix Saint-Simon, Paris (75). vzeller@hopital-dcss.org
Lortholary
Olivier
O
D000935:Antifungal Agents / Q000627:therapeutic use; D006801:Humans; D016867:Immunocompromised Host; D009181:Mycoses / Q000150:complications*; D013256:Steroids / Q000627:therapeutic use; D020293:Vasculitis, Central Nervous System / Q000382:microbiology* / Q000503:physiopathology*
D000935:Antifungal Agents; D013256:Steroids