Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge

Curvularia a dematiaceous fungus is ubiquitously found in soil around the world. We report an epidural abscess due to Curvularia lunata in a 48 years male farmer who underwent decompressive laminectomy as primary modality of treatment followed by isolation, identification and confirmation of the iso...

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Main Authors: Adesh shrivastava, Karuna Tadepalli, Garima Goel, Kajal Gupta, Pradeep Kumar Gupta
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Medical Mycology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753917300143
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author Adesh shrivastava
Karuna Tadepalli
Garima Goel
Kajal Gupta
Pradeep Kumar Gupta
author_facet Adesh shrivastava
Karuna Tadepalli
Garima Goel
Kajal Gupta
Pradeep Kumar Gupta
author_sort Adesh shrivastava
collection DOAJ
description Curvularia a dematiaceous fungus is ubiquitously found in soil around the world. We report an epidural abscess due to Curvularia lunata in a 48 years male farmer who underwent decompressive laminectomy as primary modality of treatment followed by isolation, identification and confirmation of the isolate from tissue by ITS sequencing. Antifungal therapy with voriconazole and amphotericin B for 3 and 2 weeks respectively improved patient's condition and is presently on regular follow up with no sequelae since last 7 months.
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spelling doaj.art-4c5494490f074f439bdc5e4e16a712202022-12-22T00:00:50ZengElsevierMedical Mycology Case Reports2211-75392017-06-0116C202410.1016/j.mmcr.2017.04.001Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challengeAdesh shrivastava0Karuna Tadepalli1Garima Goel2Kajal Gupta3Pradeep Kumar Gupta4Department of Neurosurgery, AIIMS Bhopal, Bhopal 462024, MP, IndiaDepartment of Microbiology, AIIMS Bhopal, Bhopal 462024, MP, IndiaDepartment of Pathology, AIIMS Bhopal, Bhopal 462024, MP, IndiaDepartment of Microbiology, AIIMS Bhopal, Bhopal 462024, MP, IndiaDepartment of Microbiology, AIIMS Bhopal, Bhopal 462024, MP, IndiaCurvularia a dematiaceous fungus is ubiquitously found in soil around the world. We report an epidural abscess due to Curvularia lunata in a 48 years male farmer who underwent decompressive laminectomy as primary modality of treatment followed by isolation, identification and confirmation of the isolate from tissue by ITS sequencing. Antifungal therapy with voriconazole and amphotericin B for 3 and 2 weeks respectively improved patient's condition and is presently on regular follow up with no sequelae since last 7 months.http://www.sciencedirect.com/science/article/pii/S2211753917300143Curvularia lunataCentral IndiaEpidural abscesssMelanized fungusMolecular identificationPhaeohyphomycosis
spellingShingle Adesh shrivastava
Karuna Tadepalli
Garima Goel
Kajal Gupta
Pradeep Kumar Gupta
Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
Medical Mycology Case Reports
Curvularia lunata
Central India
Epidural abscesss
Melanized fungus
Molecular identification
Phaeohyphomycosis
title Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
title_full Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
title_fullStr Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
title_full_unstemmed Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
title_short Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge
title_sort melanized fungus as an epidural abscess a diagnostic and therapeutic challenge
topic Curvularia lunata
Central India
Epidural abscesss
Melanized fungus
Molecular identification
Phaeohyphomycosis
url http://www.sciencedirect.com/science/article/pii/S2211753917300143
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AT kajalgupta melanizedfungusasanepiduralabscessadiagnosticandtherapeuticchallenge
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