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Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
Adesh Shrivastava1, Karuna Tadepalli2, Garima Goel3
1Department of Neurosurgery, AIIMS Bhopal, Bhopal 462024, MP, India.
Medical Mycology Case Reports
|April 19, 2017
Abstract:
Curvularia a dematiaceous fungus is ubiquitously found in soil around the world. We report an epidural abscess due to Curvularia lunata in a 48 years male farmer who underwent decompressive laminectomy as primary modality of treatment followed by isolation, identification and confirmation of the isolate from tissue by ITS sequencing. Antifungal therapy with voriconazole and amphotericin B for 3 and 2 weeks respectively improved patient's condition and is presently on regular follow up with no sequelae since last 7 months.