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J Clin Pathol 2004;57:202-204 doi:10.1136/jcp.2003.010066
  • Short report

Central nervous system Aspergillus fumigatus infection after near drowning

  1. P A Kowacs1,
  2. S Monteiro de Almeida1,3,
  3. R L Pinheiro3,
  4. H Fameli1,
  5. E J Piovesan1,
  6. A Correia2,
  7. L C Werneck1
  1. 1Neurology Division, Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, 80060-900, Curitiba, Brazil
  2. 2Neurosurgery Department, Hospital de Clínicas da Universidade Federal do Paraná
  3. 3Clinical Analysis Laboratory, Hospital de Clínicas da Universidade Federal do Paraná
  1. Correspondence to:
 Dr P A Kowacs
 Neurology Division, Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, Rua General Carneiro 181, Sala 1236, 80060-900, Curitiba, Brazil; cefaleiahc.ufpr.br
  • Accepted 17 July 2003

Abstract

Aims: To report the case of a 26 year old white man, who developed chronic meningitis and intracerebral granulomata 15 days after an episode of near drowning in a swamp.

Methods:Aspergillus fumigatus was isolated from cerebrospinal fluid cultures.

Results: The patient died 70 days after the symptoms were first noticed, and seven days after a subarachnoid haemorrhage. Aspergillus has never been reported before as a cause of intracranial infection after near drowning. Conclusions: Physicians must be aware of this possibility when confronted with such a situation, because there are now effective therapeutic options for systemic aspergillosis.

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