Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis
An 85-year-old man complained of a 2-month history of pain on the left side of his face. Brain computed tomography (CT) and magnetic resonance imaging/magnetic resonance angiography did not clearly show any intracranial abnormality and only showed fluid effusion in his left sphenoid sinus. Filamento...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-12-01
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| Series: | Medical Mycology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211753916300513 |
| _version_ | 1818506884007591936 |
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| author | Yoshihiko Ogawa Masatoshi Sato Masato Tashiro Masayuki Miyazaki Kiyoshi Nagata Nobuyuki Takahashi Kei Kasahara Koichi Izumikawa Hisakazu Yano Keiichi Mikasa |
| author_facet | Yoshihiko Ogawa Masatoshi Sato Masato Tashiro Masayuki Miyazaki Kiyoshi Nagata Nobuyuki Takahashi Kei Kasahara Koichi Izumikawa Hisakazu Yano Keiichi Mikasa |
| author_sort | Yoshihiko Ogawa |
| collection | DOAJ |
| description | An 85-year-old man complained of a 2-month history of pain on the left side of his face. Brain computed tomography (CT) and magnetic resonance imaging/magnetic resonance angiography did not clearly show any intracranial abnormality and only showed fluid effusion in his left sphenoid sinus. Filamentous fungi were detected from the left sphenoid sinus specimen. The isolate was Scedosporium apiospermum. He was empirically treated with voriconazole, to which the isolate was susceptible. His consciousness decreased rapidly. Urgent 3D-CT angiography revealed an intracranial aneurysm near the left sphenoid sinus. Despite urgent coil embolization, the aneurysm ruptured, and he died. |
| first_indexed | 2024-12-10T22:10:44Z |
| format | Article |
| id | doaj.art-64e481c7105a4f2cb10fda95a6b5187a |
| institution | Directory Open Access Journal |
| issn | 2211-7539 |
| language | English |
| last_indexed | 2024-12-10T22:10:44Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Medical Mycology Case Reports |
| spelling | doaj.art-64e481c7105a4f2cb10fda95a6b5187a2022-12-22T01:31:36ZengElsevierMedical Mycology Case Reports2211-75392016-12-0114C303210.1016/j.mmcr.2016.11.001Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitisYoshihiko Ogawa0Masatoshi Sato1Masato Tashiro2Masayuki Miyazaki3Kiyoshi Nagata4Nobuyuki Takahashi5Kei Kasahara6Koichi Izumikawa7Hisakazu Yano8Keiichi Mikasa9Center for Infectious Diseases, Nara Medical University, Shijo 840, Kashihasa, Nara, JapanDepartment of Infectious Diseases, Nara City Hospital, Nara, JapanDepartment of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, JapanDepartment of Neurosurgery, Nara City Hospital, Nara, JapanDepartment of Neurology, Nara City Hospital, Nara, JapanCenter for Infectious Diseases, Nara Medical University, Shijo 840, Kashihasa, Nara, JapanDepartment of Infectious Diseases, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Microbiology and Infectious Diseases, Nara Medical University, Nara, JapanCenter for Infectious Diseases, Nara Medical University, Shijo 840, Kashihasa, Nara, JapanAn 85-year-old man complained of a 2-month history of pain on the left side of his face. Brain computed tomography (CT) and magnetic resonance imaging/magnetic resonance angiography did not clearly show any intracranial abnormality and only showed fluid effusion in his left sphenoid sinus. Filamentous fungi were detected from the left sphenoid sinus specimen. The isolate was Scedosporium apiospermum. He was empirically treated with voriconazole, to which the isolate was susceptible. His consciousness decreased rapidly. Urgent 3D-CT angiography revealed an intracranial aneurysm near the left sphenoid sinus. Despite urgent coil embolization, the aneurysm ruptured, and he died.http://www.sciencedirect.com/science/article/pii/S2211753916300513Scedosporium apiospermumMycotic aneurysmCentral nervous system infection |
| spellingShingle | Yoshihiko Ogawa Masatoshi Sato Masato Tashiro Masayuki Miyazaki Kiyoshi Nagata Nobuyuki Takahashi Kei Kasahara Koichi Izumikawa Hisakazu Yano Keiichi Mikasa Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis Medical Mycology Case Reports Scedosporium apiospermum Mycotic aneurysm Central nervous system infection |
| title | Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis |
| title_full | Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis |
| title_fullStr | Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis |
| title_full_unstemmed | Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis |
| title_short | Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis |
| title_sort | rapid development of a mycotic aneurysm of the intracranial artery secondary to scedosporium apiospermum sinusitis |
| topic | Scedosporium apiospermum Mycotic aneurysm Central nervous system infection |
| url | http://www.sciencedirect.com/science/article/pii/S2211753916300513 |
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