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Petriellidium (Allescheria) boydii orbital and brain abscess treated with intravenous miconazole
American Journal of Ophthalmology
|June 1, 1984
Abstract:
A previously healthy 4-year-old boy suffered a penetrating injury to his left orbit and left frontal lobe, which resulted in an infection by Petriellidium boydii. The patient was successfully treated with intravenous miconazole and multiple debridements.
Insights
A pediatric penetrating orbital and frontal lobe injury led to Petriellidium boydii infection. The child recovered fully after intravenous miconazole treatment and surgical debridements.
Area of Science:
- Mycology
- Infectious Diseases
- Neurosurgery
Background:
- Penetrating head trauma can lead to severe infections.
- Petriellidium boydii is a fungus that can cause opportunistic infections.
Observation:
- A previously healthy 4-year-old boy sustained a penetrating injury to the left orbit and frontal lobe.
- The injury resulted in an infection with Petriellidium boydii.
Findings:
- The patient was treated with intravenous miconazole.
- Multiple surgical debridements were performed.
- The infection was successfully eradicated.
Implications:
- This case highlights the importance of prompt diagnosis and aggressive treatment for fungal infections following penetrating brain injuries.
- Intravenous miconazole and surgical intervention are effective in managing Petriellidium boydii infections.
- Early management can lead to favorable outcomes in pediatric neurosurgical infections.