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Bilateral mycotic cerebral abscess due to aspergillosis--a case report

Kanakalata Dash1, Asaranti Dash, Sujata Pujari

  • 1Department of Pathology, SCB Medical College, Cuttack, Orissa. kanakalatadash@yahoo.co.in

Indian Journal of Pathology & Microbiology
|December 23, 2006
PubMed

Insights

Central nervous system aspergillosis is a rare fungal infection. This case highlights cerebral aspergillosis presenting as bilateral frontal lobe abscess in an immunocompetent patient.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Mycology

Background:

  • Central nervous system (CNS) aspergillosis is an uncommon infection.
  • It primarily affects immunocompromised individuals.
  • Manifestations include abscess, meningitis, mycotic aneurysm, infarction, and tumoral forms.

Observation:

  • This report details a rare case of cerebral aspergillosis.
  • The presentation was bilateral frontal lobe abscesses.
  • The patient showed no evidence of systemic immunosuppression or extracranial disease.

Findings:

  • Cerebral aspergillosis can occur in immunocompetent individuals.
  • Bilateral frontal lobe abscesses are a possible presentation.
  • Absence of systemic disease does not exclude CNS aspergillosis.

Implications:

  • Broadens the differential diagnosis for brain abscesses.
  • Highlights the importance of considering fungal infections in neurological presentations.
  • Suggests further investigation for atypical presentations of aspergillosis.

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