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Disseminated Sporothix schenckii in a patient with AIDS
S Hardman1, I Stephenson, D R Jenkins
1Department of Clinical Microbiology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK. susanhardman@hotmail.com
Abstract:
Sporothrix schenckii is a widespread dimorphic fungus which can cause cutaneous infection following local implantation. Disseminated sporotrichosis may occur in immunodeficient individuals but meningitis remains a rare complication. Diagnosis is usually difficult, requiring isolation of the organism from the CSF or skin so appropriate treatment can be promptly initiated. We present the first case of S. schenckii meningitis reported in the UK in a patient with AIDS. He presented with insidious features of meningoencephalitis, hydrocephalus and multiple cutaneous lesions and failed to respond to therapy.
Insights
Sporothrix schenckii meningitis is a rare complication in individuals with acquired immunodeficiency syndrome (AIDS). This case highlights diagnostic challenges and treatment failure in a UK patient with AIDS and S. schenckii meningitis.
Area of Science:
- Mycology
- Infectious Diseases
- Neurology
Background:
- Sporothrix schenckii is a dimorphic fungus causing cutaneous infections.
- Disseminated sporotrichosis is rare, primarily affecting immunodeficient individuals.
- Meningitis due to S. schenckii is an exceptionally rare complication.
Observation:
- The study presents the first reported case of S. schenckii meningitis in the UK.
- The patient had acquired immunodeficiency syndrome (AIDS).
- Clinical presentation included meningoencephalitis, hydrocephalus, and multiple cutaneous lesions.
Findings:
- Diagnosis required isolation of S. schenckii from cerebrospinal fluid (CSF) and skin.
- The patient's condition did not improve with therapy.
- This case underscores the diagnostic difficulties associated with S. schenckii meningitis.
Implications:
- Highlights the importance of considering rare fungal infections in immunocompromised patients.
- Emphasizes the need for prompt diagnosis and effective treatment strategies for S. schenckii meningitis.
- Contributes to understanding the clinical spectrum of sporotrichosis in AIDS patients.
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