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Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
[Invasive aspergillosis of the cavum associated with candidal meningitis]
S Massou1, H Azendour, T Nebhani
1Service de réanimation médicale, hôpital militaire d'instruction Mohammed V, Rabat, Maroc. salah_masson80@hotmail.com
Abstract:
Aspergillus fumigatus is a resistant filamentous fungus, common in the environment and pathogenic for human. The most common sites of primary aspergillosis are the maxillary sinus and lungs. Intracranial location is rare and may develop after hematogenous dissemination or contiguity. The invasive pseudotumoral form usually concerns immunodepressed patients. Invasive aspergillosis of the cavum is rare and its diagnosis is difficult. This infection can be fatal because of endocranial involvement and permeabilization of the blood-brain barrier, facilitating other neuromeningeal mycotic infections. We report the case of a 70-year-old diabetic and hypertensive female patient having presented with an invasive aspergillosis of the cavum and endocranial involvement complicated by Candida meningitis.
Insights
Invasive aspergillosis of the cavum is a rare fungal infection. This case highlights its potential for severe endocranial spread and co-infection with Candida meningitis.
Area of Science:
- Mycology
- Infectious Diseases
- Neurology
Background:
- Aspergillus fumigatus is a common, resistant environmental fungus and human pathogen.
- Primary aspergillosis typically affects the maxillary sinus and lungs.
- Intracranial involvement, though rare, can occur via hematogenous spread or contiguity.
Observation:
- The case involved a 70-year-old female with diabetes and hypertension.
- The patient presented with invasive aspergillosis of the cavum (nasopharynx).
- This was complicated by endocranial extension and subsequent Candida meningitis.
Findings:
- Invasive aspergillosis of the cavum is diagnostically challenging.
- Endocranial involvement poses a significant risk due to blood-brain barrier permeabilization.
- The infection can facilitate secondary neuromeningeal mycotic infections.
Implications:
- Early diagnosis and treatment are crucial for invasive cavum aspergillosis.
- This case underscores the potential for aggressive intracranial spread in immunocompromised individuals.
- Co-infections, such as Candida meningitis, can complicate the clinical course and prognosis.
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