Successful treatment of Xylohypha bantiana brain abscess mimicking invasive cerebral aspergillosis in a liver transplant recipient

J Infect. 2003 Nov;47(4):348-51. doi: 10.1016/s0163-4453(03)00099-9.

Abstract

Invasive aspergillosis is a highly lethal disease in immunocompromised hosts especially with central nervous system involvement. In a review of 2380 liver transplants performed over 14 years, 13 out of 15 fungal brain abscesses were due to Aspergillus species and only one patient survived [Arch Surg, 132 (1997) 304]. Dematiaceous fungi while less readily recognised, often have a more favorable outcome [Transplantation, 63 (1997) 160]. We report a Xylophypha bantiana cerebral abscess in a liver transplant recipient initially identified as a branching mould on histology that had a successful outcome due to aggressive appropriate treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antifungal Agents / therapeutic use*
  • Aspergillosis / diagnosis
  • Brain Abscess / diagnosis
  • Brain Abscess / drug therapy*
  • Brain Abscess / microbiology*
  • Diagnosis, Differential
  • Female
  • Humans
  • Immunocompromised Host*
  • Liver Transplantation*
  • Mitosporic Fungi / isolation & purification*
  • Mycoses / drug therapy*
  • Mycoses / microbiology*

Substances

  • Antifungal Agents