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. 2020 Apr;10(2):145-147.
doi: 10.1177/1941874419870985. Epub 2019 Aug 26.

Cerebral Fungal Abscess in an Immunocompetent Patient

Spyridoula Tsetsou  1 , Mary Fowkes  2 , Mikyung Lee  3 , Raj Shrivastava  1 , Neha S Dangayach  1
Affiliations

Cerebral Fungal Abscess in an Immunocompetent Patient

Spyridoula Tsetsou et al. Neurohospitalist. 2020 Apr.
No abstract available

Keywords: brain abscess; central nervous system fungal infections; central nervous system infections.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
A-C, Preoperative imaging: axial magnetic resonance imaging (MRI) T1+gadolinium, preoperatively enhancing mass from nasal cavity (A) to superior left frontal lobe (C) with midline shift (B). D-F, Immediate postoperative imaging: axial MRI T1+gadolinium, postoperatively mild enhancement (D), intraventricular hemorrhage (E) and herniation through craniectomy (F). G-I, Late postoperative hemispheric infarcts in diffusion-weighted imaging (G) and apparent diffusion coefficient (H) MRI and opposite-side midline shift with worsening herniation in axial computed tomography (CT) (I).
Figure 2.
Figure 2.
(A) Hematoxylin and eosin stain with granulomatous inflammation. (B) and (C) Grocott’s methenamine silver immunostaining confirming fungal elements, (D) weak Fontana positive reactivity suggestive of melanized fungal elements, with septate hyphae and possible spores, confined to numerous scattered granulomas.
See this image and copyright information in PMC

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