title: Aspergillus arachnoiditis post intrathecal baclofen pump insertion.
abstract: This report describes an unusual fungal infection of an intrathecal baclofen pump which, to our knowledge, has not been reported previously. We describe a 39-year-old man with severe lower limb spasticity due to secondary progressive multiple sclerosis that was managed with insertion of an intrathecal baclofen pump. He subsequently presented with distinct neurological decline secondary to an intrathecal baclofen pump infection with Aspergillus terreus.
authors.affiliation: Department of General Medicine, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia. vinovivek19@gmail.com
authors.forename: V
authors.initials: V
authors.lastname: Vivek
authors.forename: B
authors.initials: B
authors.lastname: Kavar
authors.forename: M
authors.initials: M
authors.lastname: Hogg
authors.forename: D P
authors.initials: DP
authors.lastname: Eisen
authors.forename: H
authors.initials: H
authors.lastname: Butzkueven
mesh_terms: D000328:Adult; D001100:Arachnoiditis / Q000188:drug therapy / Q000209:etiology* / Q000469:parasitology; D001230:Aspergillus / Q000187:drug effects / Q000472:pathogenicity; D001418:Baclofen / Q000008:administration & dosage*; D055499:Catheter-Related Infections / Q000188:drug therapy* / Q000469:parasitology; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects; D017964:Itraconazole / Q000008:administration & dosage / Q000494:pharmacology*; D008297:Male; D020528:Multiple Sclerosis, Chronic Progressive / Q000150:complications / Q000188:drug therapy; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D017964:Itraconazole; D001418:Baclofen
keywords: Aspergillus; Baclofen; Infection; Intrathecal