PSEUDALLESCHERIA-BOYDII INFECTION OF THE CENTRAL-NERVOUS-SYSTEM

被引:49
作者
KERSHAW, P
FREEMAN, R
TEMPLETON, D
DEGIROLAMI, PC
DEGIROLAMI, U
TARSY, D
HOFFMANN, S
ELIOPOULOS, G
KARCHMER, AW
机构
[1] NEW ENGLAND DEACONESS HOSP,DEPT NEUROL,110 FRANCIS ST,SUITE 4A,BOSTON,MA 02215
[2] NEW ENGLAND DEACONESS HOSP,DEPT PATHOL,BOSTON,MA 02215
[3] NEW ENGLAND DEACONESS HOSP,DEPT MED,BOSTON,MA 02215
[4] BOSTON CITY HOSP,DEPT NEUROL,BOSTON,MA 02118
[5] BETH ISRAEL HOSP,DEPT NEUROL,BOSTON,MA 02215
关键词
D O I
10.1001/archneur.1990.00530040126029
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pseudallescheria boydii is a rare cause of central nervous system infection characteristically presenting as a neutrophilic meningitis or multiple brain abscesses. Factors predisposing to central nervous system infection with this fungus include immunosuppression and near drowning. The organism is infrequently cultured from fluid obtained by lumbar puncture, delaying clinical recognition and appropriate antifungal therapy. All untreated patients with P boydii infection of the central nervous system died. We describe a patient who developed a persistent neutrophilic meningitis with focal neurologic deficits due to P boydii 6 months after a freshwater aspiration pneumonia. We also review the characteristic clinical and pathologic features of previously reported cases and emphasize the importance of early detection and treatment in the management of this frequently intractable disease. © 1990, Walter de Gruyter. All rights reserved.
引用
收藏
页码:468 / 472
页数:5
相关论文
共 38 条
[1]   PSEUDALLESCHERIA-BOYDII INFECTION OF THE CENTRAL-NERVOUS-SYSTEM IN A CARDIAC TRANSPLANT RECIPIENT [J].
ALSIP, SG ;
COBBS, CG .
SOUTHERN MEDICAL JOURNAL, 1986, 79 (03) :383-384
[2]   PETRIELLIDIUM (ALLESCHERIA) BOYDII ORBITAL AND BRAIN-ABSCESS TREATED WITH INTRAVENOUS MICONAZOLE [J].
ANDERSON, RL ;
CARROLL, TF ;
HARVEY, JT ;
MYERS, MG .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1984, 97 (06) :771-775
[3]   MADUROMYCOSIS OF THE CENTRAL NERVOUS SYSTEM [J].
ARONSON, SM ;
BENHAM, R ;
WOLF, A .
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY, 1953, 12 (02) :158-168
[4]  
Baudrillard J C, 1985, J Radiol, V66, P321
[5]   ALLESCHERIA-(PETRIELLIDIUM)-BOYDII BRAIN-ABSCESS IN A CHILD WITH LEUKEMIA [J].
BELL, WE ;
MYERS, MG .
ARCHIVES OF NEUROLOGY, 1978, 35 (06) :386-388
[6]   ALLESCHERIA BOYDII, CAUSATIVE AGENT IN A CASE OF MENINGITIS [J].
BENHAM, RW ;
GEORG, LK .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1948, 10 (03) :99-110
[7]  
BOYD MF, 1921, AM J TROP MED, V1, P215
[8]  
BRYAN CS, 1980, AM J CLIN PATHOL, V74, P846
[9]   COCCIDIOIDAL MENINGITIS COMPLICATED BY CEREBRAL ARTERITIS AND INFARCTION [J].
CARVALHO, CAD ;
ALLEN, JN ;
ZAFRANIS, A ;
YATES, AJ .
HUMAN PATHOLOGY, 1980, 11 (03) :293-296
[10]  
Drouhet E, 1983, Am J Med, V74, P30, DOI 10.1016/0002-9343(83)90512-0