Central nervous system Aspergillus infection after epidural analgesia: diagnosis, therapeutic challenges, and literature review

被引:18
作者
Genzen, Jonathan R. [1 ]
Kenney, Barton [1 ,2 ]
机构
[1] Yale Univ, Sch Med, Dept Lab Med, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Dept Pathol, New Haven, CT 06520 USA
基金
美国国家卫生研究院;
关键词
Central nervous system; Aspergillus; Epidural anesthesia; INVASIVE ASPERGILLOSIS; CEREBRAL ASPERGILLOSIS; CEREBROSPINAL-FLUID; FUNGAL-INFECTIONS; SRI-LANKA; MENINGITIS; PATIENT; HYDROCEPHALUS; GALACTOMANNAN; VORICONAZOLE;
D O I
10.1016/j.diagmicrobio.2009.06.013
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Aspergillus terreus was identified in an intradural spinal biopsy specimen from an African female with recurrent headache and hydrocephalus. Prior laboratory testing of cerebrospinal fluid was nondiagnostic, despite extensive central nervous system (CNS) involvement. CNS Aspergillus infection presents a diagnostic and therapeutic challenge and is reviewed in the context of this particularly instructive and difficult case. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:312 / 318
页数:7
相关论文
共 43 条
[21]   Central nervous system aspergiilosis: A 20-year retrospective series [J].
Kleinschmidt-DeMasters, BK .
HUMAN PATHOLOGY, 2002, 33 (01) :116-124
[22]   Utility of Aspergillus antigen detection in specimens other than serum specimens [J].
Klont, RR ;
Mennink-Kersten, MASH ;
Verweij, PE .
CLINICAL INFECTIOUS DISEASES, 2004, 39 (10) :1467-1474
[23]   Aspergillus meningitis and discitis from low-back procedures in an immunocompetent patient [J].
Kolbe, A. B. Larson ;
Mckinney, A. M. ;
Kendi, A. Tuba Karagulle ;
Misselt, D. .
ACTA RADIOLOGICA, 2007, 48 (06) :687-689
[24]   DETECTION OF FUNGI IN CEREBROSPINAL-FLUID [J].
MCGINNIS, MR .
AMERICAN JOURNAL OF MEDICINE, 1983, 75 (1B) :129-138
[25]   Case reports.: Chronic and acute Aspergillus meningitis [J].
Molin, O ;
Lass-Floerl, C ;
Verweij, PE ;
Porte, M ;
Boiron, P ;
Prugger, M ;
Gebert, U ;
Corradini, R ;
Vedovelli, C ;
Rimenti, G ;
Mian, P .
MYCOSES, 2002, 45 (11-12) :504-511
[26]   ANALYSIS OF CASES OF CENTRAL-NERVOUS-SYSTEM FUNGAL-INFECTIONS REPORTED IN JAPAN BETWEEN JANUARY 1979 AND JUNE 1989 [J].
MORI, T ;
EBE, T .
INTERNAL MEDICINE, 1992, 31 (02) :174-179
[27]   ASPERGILLOSIS OF THE CEREBRAL-VENTRICLES IN A HEROIN ABUSER - CASE-REPORT AND REVIEW OF THE LITERATURE [J].
MORROW, R ;
WONG, B ;
FINKELSTEIN, WE ;
STERNBERG, SS .
ARCHIVES OF INTERNAL MEDICINE, 1983, 143 (01) :161-164
[28]  
Nadkarni T, 2005, J Postgrad Med, V51 Suppl 1, pS37
[29]  
Nenoff P, 2001, MYCOSES, V44, P407, DOI 10.1046/j.1439-0507.2001.00687.x
[30]   Central nervous system aspergillosis: Magnetic resonance imaging, diffusion-weighted imaging, and magnetic resonance spectroscopy features [J].
Oner, AY ;
Celik, H ;
Akpek, S ;
Tokgoz, N .
ACTA RADIOLOGICA, 2006, 47 (04) :408-412