An elusive diagnosis: Scedosporium apiospermum infection after near-drowning

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dc.contributorGopinath, Malini
dc.contributorCherian, Ajith
dc.contributorBaheti, Neeraj N.
dc.contributorDas, Abhijit
dc.contributorAntony, Molly
dc.contributorSarada, C.
dc.date.accessioned2012-12-04T11:43:21Z
dc.date.available2012-12-04T11:43:21Z
dc.date.issued2010
dc.description.abstractA 51-year-old male was admitted in our institute following an episode of near-drowning. He later developed ventriculitis and cerebral ring-enhancing lesions. He died following a subarachnoid hemorrhage due to rupture of a mycotic aneurysm involving the right fetal posterior cerebral artery. Scedosporium apiospermum was isolated from the cerebrospinal fluid. Central nervous system invasion by S apiospermum may present insidiously in near-drowning patients and, therefore, requires a high index of suspicion. In cases with the characteristic cerebral ring-enhancing lesions and concomitant ventriculitis, treatment should be instituted while awaiting fungal culture. With this article we intend to alert neurologists, intensivists, and physicians to this near fatal infection, as early identification and prompt treatment with voriconazole may be life saving.
dc.identifier.citationANNALS OF INDIAN ACADEMY OF NEUROLOGY. 13; 3; 213-215en_US
dc.identifier.urihttp://dx.doi.org/10.4103/0972-2327.70878
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/101
dc.publisherANNALS OF INDIAN ACADEMY OF NEUROLOGY
dc.subjectMicrobiology
dc.titleAn elusive diagnosis: Scedosporium apiospermum infection after near-drowning
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