Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries

Cladophialophora and other dematiaceous or pigmented fungi are inhabitants of soil and decaying vegetation in tropical and sub-tropical environments. It usually causes subcutaneous phaeohyphomycosis post-inoculation by thorns or vegetable matter prick. It may be inhaled into paranasal sinuses and lu...

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Main Authors: Dipankar Pal, Adrian Keith Noronha, Rini Bandyopadhyay, Abi Manesh S
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250923002330
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author Dipankar Pal
Adrian Keith Noronha
Rini Bandyopadhyay
Abi Manesh S
author_facet Dipankar Pal
Adrian Keith Noronha
Rini Bandyopadhyay
Abi Manesh S
author_sort Dipankar Pal
collection DOAJ
description Cladophialophora and other dematiaceous or pigmented fungi are inhabitants of soil and decaying vegetation in tropical and sub-tropical environments. It usually causes subcutaneous phaeohyphomycosis post-inoculation by thorns or vegetable matter prick. It may be inhaled into paranasal sinuses and lungs with subsequent clearance by intact host immunity. In immunocompromised individuals, it can cause invasive sinusitis or pneumonitis followed by hematogenous dissemination to involve distant organs, particularly the brain. Disseminated disease with hematogenous brain abscess is found occasionally. We encountered such an interesting case and successfully treated it with surgical drainage followed by dual anti-fungal therapy.
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spelling doaj.art-afe8eefcc7ce451e98baf25a0f4e55422023-12-01T05:01:53ZengElsevierIDCases2214-25092023-01-0134e01909Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countriesDipankar Pal0Adrian Keith Noronha1Rini Bandyopadhyay2Abi Manesh S3Correspondence to: Boral, Kalabagan, Kolkata 700154, India.; Department of Infectious Diseases, Christian Medical College, Vellore, IndiaDepartment of Infectious Diseases, Christian Medical College, Vellore, IndiaDepartment of Infectious Diseases, Christian Medical College, Vellore, IndiaDepartment of Infectious Diseases, Christian Medical College, Vellore, IndiaCladophialophora and other dematiaceous or pigmented fungi are inhabitants of soil and decaying vegetation in tropical and sub-tropical environments. It usually causes subcutaneous phaeohyphomycosis post-inoculation by thorns or vegetable matter prick. It may be inhaled into paranasal sinuses and lungs with subsequent clearance by intact host immunity. In immunocompromised individuals, it can cause invasive sinusitis or pneumonitis followed by hematogenous dissemination to involve distant organs, particularly the brain. Disseminated disease with hematogenous brain abscess is found occasionally. We encountered such an interesting case and successfully treated it with surgical drainage followed by dual anti-fungal therapy.http://www.sciencedirect.com/science/article/pii/S2214250923002330Cladophialophora bantianaPhaeohyphomycosisBrain abscessVoriconazole
spellingShingle Dipankar Pal
Adrian Keith Noronha
Rini Bandyopadhyay
Abi Manesh S
Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
IDCases
Cladophialophora bantiana
Phaeohyphomycosis
Brain abscess
Voriconazole
title Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
title_full Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
title_fullStr Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
title_full_unstemmed Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
title_short Cladophialophora bantiana – A rare cause of soil-transmitted fungal brain abscess in tropical countries
title_sort cladophialophora bantiana a rare cause of soil transmitted fungal brain abscess in tropical countries
topic Cladophialophora bantiana
Phaeohyphomycosis
Brain abscess
Voriconazole
url http://www.sciencedirect.com/science/article/pii/S2214250923002330
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