Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning.
Pseudallescheria boydii is a rare cause of mycotic infection. Factors predisposing to systemic infection include traumas, immunosuppression, and near drowning. We report a case of multiple aneurysms caused by this hyalohyphomycete, occurred after near drowning. The car driven by a 53-year-old woman plunged into a canal in The Netherlands. After a 20-min-long submersion, the woman was rescued. At hospital, a severe aspiration of muddy water and a mycotic pneumonia were diagnosed. Despite the immediate prescription of a long-term antimycotic therapy and the initial good response, the patient died 4 months later. The autopsy showed a mycotic aneurysm of the abdominal aorta and multiple ruptured mycotic aneurysms of the circle of Willis with fatal subarachnoid bleeding.
Ortmann
C
C
Institut für Rechtsmedizin, Universitätsklinikum Jena, Jena, Germany.
Wüllenweber
J
J
Brinkmann
B
B
Fracasso
T
T
D000785:Aneurysm, Infected / Q000382:microbiology* / Q000473:pathology*; D017544:Aortic Aneurysm, Abdominal / Q000473:pathology; D001019:Aortic Rupture / Q000473:pathology; D005260:Female; D049429:Forensic Pathology; D006801:Humans; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis*; D015701:Near Drowning / Q000150:complications*; D011541:Pseudallescheria / Q000302:isolation & purification*; D013345:Subarachnoid Hemorrhage / Q000473:pathology