title: Invasive filamentous fungus infection with secondary cerebral vasculitis in a patient with no obvious immune suppression.
abstract: Invasive mold infections represent an emerging and important diagnostic challenge, especially in immunocompetent patients when microscopy and cultures of the biological fluids remain negative. A central nervous system localization is not common and the clinical presentation is aspecific.
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy. Electronic address: filippome@libero.it.
authors.forename: Filippo
authors.initials: F
authors.lastname: Mearelli
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Occhipinti
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Altamura
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Fernandes
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Giulia
authors.initials: G
authors.lastname: Pivetti
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Chendi
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: AnnaLisa
authors.initials: A
authors.lastname: Spalluti
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Lorenza
authors.initials: L
authors.lastname: Mamolo
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Casarsa
authors.affiliation: Clinica Medica Generale e Terapia Medica, Department of Medical, Surgical and Health Sciences, University of Trieste, Strada di Fiume 447, 34149 Cattinara Trieste, Italy.
authors.forename: Gianni
authors.initials: G
authors.lastname: Biolo
mesh_terms: D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D005658:Fungi / Q000166:cytology / Q000302:isolation & purification*; D006801:Humans; D055744:Invasive Pulmonary Aspergillosis / Q000150:complications* / Q000473:pathology; D007558:Italy; D008875:Middle Aged; D020293:Vasculitis, Central Nervous System / Q000150:complications* / Q000473:pathology
keywords: CNS leukocytoclastic vasculitis; Fever of unknown origin; Invasive mold infections