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Cerebral candidiasis presenting as a mass lesion
M Hanci1, A Kafadar, A Sarioğlu
1Department of Neurosurgery, Cerrahpaşa Medical Faculty University of Istanbul, Turkey.
Zentralblatt Fur Neurochirurgie
|July 23, 1998
Summary
This study presents a rare case of a pseudotumor caused by Candida species. Surgical removal and antifungal treatment led to a successful outcome, highlighting diagnostic considerations for intracranial masses.
Area of Science:
- Neurology
- Mycology
- Pathology
Background:
- Intracranial mass lesions present a diagnostic challenge.
- Fungal infections, particularly Candida species, are rare causes of intracranial pseudotumors.
- Calcified intracranial masses require careful differential diagnosis.
Observation:
- A case of a huge calcified intracranial mass lesion was identified.
- No underlying disease or clear portal of entry for Candida species was found.
- The mass lacked a soft tissue component, complicating initial assessment.
Findings:
- The intracranial mass was confirmed to be a pseudotumor caused by Candida species.
- Complete surgical excision of the pseudotumor was achieved.
- Post-operative treatment with fluconazole resulted in a favorable clinical outcome.
Implications:
- This case expands the differential diagnosis for calcified intracranial lesions.
- It underscores the importance of considering fungal etiologies in unexplained intracranial masses.
- Effective management involves surgical intervention and targeted antifungal therapy.