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Central nervous system Aspergillus fumigatus infection after near drowning. 2004
P A Kowacs, and
S Monteiro de Almeida, and
R L Pinheiro, and
H Fameli, and
E J Piovesan, and
A Correia, and
L C Werneck
Neurology Division, Internal Medicine Department, Hospital de ClĂnicas da Universidade Federal do Paraná, 80060-900, Curitiba, Brazil. cefaleia@hc.ufpr.br
OBJECTIVE To report the case of a 26 year old white man, who developed chronic meningitis and intracerebral granulomata 15 days after an episode of near drowning in a swamp. METHODS Aspergillus fumigatus was isolated from cerebrospinal fluid cultures. RESULTS The patient died 70 days after the symptoms were first noticed, and seven days after a subarachnoid haemorrhage. Aspergillus has never been reported before as a cause of intracranial infection after near drowning. CONCLUSIONS Physicians must be aware of this possibility when confronted with such a situation, because there are now effective therapeutic options for systemic aspergillosis.
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