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Updated: Aug 30, 2026

Visualizing Impairment of the Endothelial and Glial Barriers of the Neurovascular Unit during Experimental Autoimmune Encephalomyelitis In Vivo
Published on: March 26, 2019
[Embolic and thrombotic changes in numerous CNS vessels in the course of aspergillosis]
Bozenna Fabisiak-Wolszczak1, Danuta Filipczak, Iwona Sienicka-Turska
1Oddziału Neurologicznego Wojewódzkiego Szpitala Bródnowskiego w Warszawie.
Abstract:
A case of aspergillous encephalitis in a diabetic patient with acute sinusitis is presented. MRI investigation revealed characteristic changes in the brain and skull bones, including these of face and skull base. Despite a radical surgery of the sinuses and early treatment with Amphotericin B, the disease progressed rapidly and was fatal. Post-mortem neuropathological examination confirmed the diagnosis of encephalitis caused by aspergillosis.
Insights
A rare case of invasive aspergillosis leading to encephalitis in a diabetic patient with sinusitis proved fatal despite aggressive treatment. This highlights the aggressive nature of fungal brain infections in immunocompromised individuals.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Invasive fungal infections, particularly aspergillosis, pose a significant threat in immunocompromised patients.
- Diabetic patients with acute sinusitis are at increased risk for invasive fungal sinusitis.
- Aspergillus encephalitis is a rare but devastating complication.
Observation:
- A diabetic patient with acute sinusitis developed Aspergillus encephalitis.
- Magnetic Resonance Imaging (MRI) demonstrated characteristic brain and skull bone changes.
- The patient underwent radical sinus surgery and received early Amphotericin B treatment.
Findings:
- Despite prompt and aggressive management, the patient's condition rapidly deteriorated.
- Post-mortem neuropathological examination confirmed Aspergillus encephalitis.
- The infection rapidly progressed, leading to a fatal outcome.
Implications:
- This case underscores the critical need for early recognition and aggressive management of invasive fungal infections in at-risk populations.
- Aggressive treatment strategies may not always prevent fatal outcomes in advanced cases of Aspergillus encephalitis.
- Further research into novel therapeutic approaches for invasive fungal brain infections is warranted.
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