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Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
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Optic nerve aspergillosis.

Lisi Yuan1, Richard A Prayson1

  • 1Cleveland Clinic Department of Anatomic Pathology, L25 9500 Euclid Avenue, Cleveland, OH 44122, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|April 12, 2015
PubMed
Summary
This summary is machine-generated.

Optic nerve Aspergillosis, a rare fungal infection, was diagnosed post-mortem in a woman with immunosuppression. Aspergillus species invaded the optic nerve, causing vision loss despite steroid treatment.

Keywords:
AbscessAspergillosisAspergillusOptic nerve

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Area of Science:

  • Ophthalmology
  • Mycology
  • Neurology

Background:

  • Aspergillus is a common airborne fungus that typically causes disease in immunocompromised individuals.
  • Optic nerve Aspergillosis is a rare but serious infection affecting vision.

Observation:

  • A 55-year-old woman with hypertension and migraines presented with unilateral headache, blurred vision, and scotoma.
  • Initial investigations including temporal artery biopsy and MRI for optic nerve thickening were inconclusive.
  • Steroid treatment improved headache but not vision.

Findings:

  • Autopsy revealed an abscess involving the left optic nerve and extending to the optic chiasm.
  • Histopathology confirmed angioinvasive fungal hyphae consistent with Aspergillus species.
  • No evidence of systemic vasculitis or infection was found.

Implications:

  • This case highlights the importance of considering fungal infections like Aspergillosis in the differential diagnosis of optic nerve disorders, especially in at-risk patients.
  • Early diagnosis and appropriate antifungal therapy are crucial for managing optic nerve Aspergillosis to prevent vision loss.