Cladosporium bantianum meningitis in a neonate

被引:16
作者
Banerjee T.K. [1 ]
Patwari A.K. [1 ,3 ]
Dutta R. [2 ]
Anand V.K. [1 ]
Chabra A. [1 ]
机构
[1] Department of Pediatrics, Lady Hardinge Medical College, Kalawati Saran Children Hospital, New Delhi
[2] Department of Microbiology, Lady Hardinge Medical College, Kalawati Saran Children Hospital, New Delhi
[3] Reader Flat No. 4, Lady Hardinge Medical College Campus, New Delhi-110001, Bangla Sahib Road
关键词
Antifungal therapy; Cladosporium bantianum; Neonatal meningitis;
D O I
10.1007/BF02722713
中图分类号
学科分类号
摘要
Cladosporium bantianum meningitis has been reported mostly in adult farmers between 20 and 30 years of age. We report a 6-day-old male neonate who was admitted with fever, focal seizures and not accepting feeds. Initial investigations suggested a diagnosis of pyogenic meningitis but antibiotic therapy for 14 days did not result in any significant clinical improvement. Repeat CSF examination after 14 days suggested a diagnosis of C. bantianum meningitis which was supported by presence of multiple abscesses in the cerebral cortex on CT scan of the head and confirmed by CSF culture. Clinical response to antifungal therapy remained unsatisfactory.
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页码:721 / 723
页数:2
相关论文
共 10 条
[1]  
Matsumoto T., Zello L.A., Matsuda T., Szani Z.L.O., Walsch T.J., Developments in hyalohyphomycosis and phaeohyphomycosis, J Med Vet Mycol, 32, pp. 329-349, (1994)
[2]  
Dixon D.M., Walsch T.J., Merz W.G., McGinnis M.R., Infection due to Xylohypha bantiana (Cladosporium trichoides), Rev Infect Dis, 2, 4, pp. 515-525, (1989)
[3]  
Borelli D., Torula bantiana, Agente di un granuloma cerebrale, Riv Anal Patol Oncol, 17, pp. 615-622, (1960)
[4]  
McGinnis M.R., Borelli D., Padhye A.A., Ajello, Reclassification of Cladosporium bantianum in genus xylohypha, J Clin Microbiol, 23, pp. 1148-1151, (1986)
[5]  
Oscar D., Meningoencephalitis and brain abscess caused by Cladosporium and Fonsecaea, Am J Clin Pathol, 36, pp. 505-517, (1961)
[6]  
Dixon D.M., Polak A., In vitro and invivo drug studies with three agents of central nervous system phaeohyphomycosis, Chemotherapy, 33, pp. 129-140, (1987)
[7]  
Palaoglu S., Sav A., Basak T., Yalcinlar Y., Scheithauer B.W., Neurosurgery, 33, pp. 894-897, (1993)
[8]  
Aronoff S.C., Cryptococcosis, Nelson Text Book of Pediatrics, 15th Edn., pp. 949-950, (1996)
[9]  
Middleton F.G., Jurgenson P.F., Utz Z.P., Shadomy S., Shadomy H.J., Brain abscess caused by C. trichoides, Arch Intern Med, 136, pp. 444-448, (1976)
[10]  
Seaworth B.J., Kiven Chung K.J., Hamilton J.D., Perfect J.R., Brain abscess caused by a variety of Cladosporium trichoides, Am J Clin Pathol, 79, pp. 747-752, (1983)