Association between a Primitive Brain Tumor and Cerebral Aspergillosis
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Published on: July 5, 2021
Siegfried Hélage1, Charles Duyckaerts, Danielle Seilhean
1Laboratoire de Neuropathologie Escourolle, Institut du Cerveau et de la Moelle épinière, Université Pierre et Marie Curie, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47-83 boulevard de l'Hôpital, 75651 Paris cedex 13, France.
Abstract:
Cerebral aspergillosis is a rare pathology of poor prognosis in spite of the use of adapted antifungal treatments. This infection of the central nervous system is generally the complication of an invasive aspergillosis with hematogenic scattering from pulmonary focal spots. It can arise in immunocompetent patients treated with prolonged corticotherapy or chemoradiotherapy for cancer. A case of lethal cerebral aspergillosis in a patient with an infiltrative glioma treated with corticotherapy and radiotherapy is reported. Clinicopathological aspects and therapeutic approach are described.
Insights
Cerebral aspergillosis, a rare central nervous system infection, has a poor prognosis even with antifungal treatment. This case highlights its lethal outcome in an infiltrative glioma patient undergoing corticotherapy and radiotherapy.
Area of Science:
- Neurology
- Infectious Diseases
- Oncology
Background:
- Cerebral aspergillosis is a rare and severe central nervous system infection.
- It often arises from invasive pulmonary aspergillosis with hematogenous spread.
- Risk factors include immunocompromise, prolonged corticotherapy, or chemoradiotherapy for cancer.
Observation:
- A case of a patient with an infiltrative glioma is presented.
- The patient received corticotherapy and radiotherapy for their cancer.
- This led to the development of cerebral aspergillosis.
Findings:
- The cerebral aspergillosis in this patient was lethal.
- Clinicopathological aspects of this rare fungal infection were described.
- The therapeutic approach for this specific case was detailed.
Implications:
- This case underscores the poor prognosis of cerebral aspergillosis.
- It highlights the potential risk in cancer patients undergoing specific treatments.
- Further research into effective therapeutic strategies for CNS aspergillosis is warranted.
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