Abstract

NIETO-RIOS, John Fredy et al. Brain abscess caused by Cladophialophora bantiana after renal allograft loss: A case report. Biomédica [online]. 2019, vol.39, suppl.2, pp.20-25. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.v39i3.4471.

Cerebral feohifomycosis are severe infections caused by dematiaceous fungi. Cladophialophora bantiana is one of the most commonly isolated species; it has central nervous system tropism and it often manifests as a brain abscess in immunocompetent patients. In immunocompromised patients, it can lead to brain abscesses and disseminated infections. Despite the availability of broad-spectrum antifungal drugs, it is a must to perform surgical management, in addition to drug therapy. However, mortality is high. The diagnostic approach must be invasive to establish a timely diagnosis and direct treatment based on culture and susceptibility tests.

We report a case of brain abscess caused by C. bantiana in an immunosuppressed patient who was treated with surgical resection and voriconazole with an adequate response to therapy and without neurological sequels.

Keywords : Phaeohyphomycosis; fungi; immunosuppression; kidney transplantation; brain abscess..

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