Fonsecaea associated cerebral phaeohyphomycosis in a post-COVID-19 patient: A first case report

Simin Laiq1, Mubarak Al Yaqoobi2, Maimuna Al Saadi1

  • 1Department of Histopathology, Directorate General of Khoula Hospital, Muscat, Oman.

Insights

Cerebral phaeohyphomycosis, a fungal brain infection, can occur after COVID-19. This case highlights a rare Fonsecaea infection in a diabetic patient post-COVID-19, emphasizing poor prognosis.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Neurology

Background:

  • Phaeohyphomycosis is a chronic fungal infection caused by dematiaceous fungi, typically affecting the skin.
  • Cerebral phaeohyphomycosis, a rare invasive form, affects the brain and carries a poor prognosis, even in immunocompetent individuals.
  • The COVID-19 pandemic has seen an increase in invasive fungal infections, potentially due to viral effects or treatments on the immune system.

Observation:

  • A case of cerebral phaeohyphomycosis caused by Fonsecaea was observed.
  • The patient was a recently diagnosed diabetic woman from Oman.
  • The patient presented six weeks after recovering from moderate COVID-19 pneumonia.

Findings:

  • This report details a rare instance of Fonsecaea-associated cerebral phaeohyphomycosis.
  • The infection occurred in a patient with recent COVID-19 and diabetes mellitus.
  • The case underscores the potential for invasive fungal infections in the post-COVID-19 period.

Implications:

  • This case highlights the importance of considering invasive fungal infections, like cerebral phaeohyphomycosis, in patients with recent COVID-19, especially those with comorbidities.
  • Early diagnosis and management are crucial for improving outcomes in cerebral phaeohyphomycosis.
  • Further research is needed to understand the link between COVID-19, immunosuppression, and invasive fungal infections.

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