title: Disseminated Phaeohyphomycosis with Brain Abscess and Biliary Invasion Due to Bipolaris spp. in an Immunocompetent Patient.
abstract: Bipolaris is a dematiaceous fungus seen in the skin, nasal sinuses, and occasionally in the central nervous system. We present an immunocompetent female with bilateral dural-based abscesses caused by a Bipolaris species. The patient had no involvement of the sinuses with the fungus but was later found to have a significant Bipolaris infection of her biliary tree.
authors.affiliation: Vivian L. Smith Department of Neurosurgery, University of Texas Health Science Center at Houston, Medical School, Houston, Texas, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Frank
authors.affiliation: Vivian L. Smith Department of Neurosurgery, University of Texas Health Science Center at Houston, Medical School, Houston, Texas, USA yoshuaesquenazi@gmail.com.
authors.forename: Yoshua
authors.initials: Y
authors.lastname: Esquenazi
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, University of Texas Health Science Center at Houston, Medical School, Houston, Texas, USA.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Nigo
authors.affiliation: Department of Pathology and Laboratory Medicine, University of Texas Health Science Center at Houston, Medical School, Houston, Texas, USA.
authors.forename: Audrey
authors.initials: A
authors.lastname: Wanger
authors.affiliation: Private Infectious Disease Consultant, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Portnoy
authors.affiliation: Vivian L. Smith Department of Neurosurgery, University of Texas Health Science Center at Houston, Medical School, Houston, Texas, USA.
authors.forename: Scott
authors.initials: S
authors.lastname: Shepard
mesh_terms: D000328:Adult; D001659:Biliary Tract / Q000382:microbiology* / Q000473:pathology*; D001922:Brain Abscess / Q000150:complications* / Q000382:microbiology*; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008279:Magnetic Resonance Imaging; D003904:Mitosporic Fungi / Q000502:physiology*; D060446:Phaeohyphomycosis / Q000150:complications* / Q000382:microbiology*
keywords: Bipolaris; biliary; cerebral phaeohyphomycosis; dural abscess; fungus