Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient

Cladophialophora bantiana is a dematiaceous mold with a predilection for causing central nervous system infection, particularly in normal hosts. A case involving a 79-year-old immunocompetent woman who presented with left-sided weakness and a ring-enhancing brain lesion is reported. She underwent su...

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Main Author: Sanjay G. Revankar
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2011/642517
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author Sanjay G. Revankar
author_facet Sanjay G. Revankar
author_sort Sanjay G. Revankar
collection DOAJ
description Cladophialophora bantiana is a dematiaceous mold with a predilection for causing central nervous system infection, particularly in normal hosts. A case involving a 79-year-old immunocompetent woman who presented with left-sided weakness and a ring-enhancing brain lesion is reported. She underwent surgical excision, which revealed a brain abscess due to C bantiana. The patient was treated with liposomal amphotericin B for several weeks, then switched to voriconazole and flucytosine, but eventually succumbed to the infection. Therapy is not standardized for this rare mycosis, and mortality remains high, even in immunocompetent patients. Additional studies to understand the pathogenesis of this infection and to improve outcomes are needed.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-eb738cd3f0bd4dc1846cec085a105bf42025-02-03T01:26:49ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322011-01-0122414915010.1155/2011/642517Cladophialophora bantiana Brain Abscess in an Immunocompetent PatientSanjay G. Revankar0Division of Infectious Diseases, Wayne State University, Detroit, Michigan, USACladophialophora bantiana is a dematiaceous mold with a predilection for causing central nervous system infection, particularly in normal hosts. A case involving a 79-year-old immunocompetent woman who presented with left-sided weakness and a ring-enhancing brain lesion is reported. She underwent surgical excision, which revealed a brain abscess due to C bantiana. The patient was treated with liposomal amphotericin B for several weeks, then switched to voriconazole and flucytosine, but eventually succumbed to the infection. Therapy is not standardized for this rare mycosis, and mortality remains high, even in immunocompetent patients. Additional studies to understand the pathogenesis of this infection and to improve outcomes are needed.http://dx.doi.org/10.1155/2011/642517
spellingShingle Sanjay G. Revankar
Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
Canadian Journal of Infectious Diseases and Medical Microbiology
title Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
title_full Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
title_fullStr Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
title_full_unstemmed Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
title_short Cladophialophora bantiana Brain Abscess in an Immunocompetent Patient
title_sort cladophialophora bantiana brain abscess in an immunocompetent patient
url http://dx.doi.org/10.1155/2011/642517
work_keys_str_mv AT sanjaygrevankar cladophialophorabantianabrainabscessinanimmunocompetentpatient