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Rapid development of a mycotic aneurysm of the intracranial artery secondary to Scedosporium apiospermum sinusitis.

ABSTRACT: 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.

SUBMITTER: Ogawa Y

PROVIDER: S-EPMC5198637 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

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Rapid development of a mycotic aneurysm of the intracranial artery secondary to <i>Scedosporium apiospermum</i> sinusitis.

Ogawa Yoshihiko Y Sato Masatoshi M Tashiro Masato M Miyazaki Masayuki M Nagata Kiyoshi K Takahashi Nobuyuki N Kasahara Kei K Izumikawa Koichi K Yano Hisakazu H Mikasa Keiichi K

Medical mycology case reports 20161127

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 <i>Scedosporium apiospermum</i>. He was empirically treated with voriconazole, to which the isolate was susceptible. His c ...[more]

PMID: 28053848

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