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Fonsecaea pedrosoi cerebral phaeohyphomycosis ("chromoblastomycosis"): first human culture-proven case reported in Brazil.

Abstract：

:Cerebral phaeohyphomycosis ("chromoblastomycosis") is a rare intracranial lesion. We report the first human culture-proven case of brain abscesses due to Fonsecaea pedrosoi in Brazil. The patient, a 28 year-old immunocompetent white male, had ocular manifestations and a hypertensive intracranial syndrome. Magnetic resonance imaging (MRI) of the brain revealed a main tumoral mass involving the right temporo-occipital area and another smaller apparently healed lesion at the left occipital lobe. A cerebral biopsy was performed and the pathological report was cerebral chromoblastomycosis. The main lesion was enucleated surgically and culture of the necrotic and suppurative mass grew a fungus identified as Fonsecaea pedrosoi. The patient had received a knife wound sixteen years prior to his hospitalization and, more recently, manifested a pulmonary granulomatous lesion in the right lung with a single non-pigmented form of a fungus present. It was speculated that the fungus might have gained entrance to the host through the skin lesion, although a primary respiratory lesion was not excluded. The patient was discharged from the hospital still with ocular manifestations and on antimycotic therapy and was followed for eight months without disease recurrence. Few months after he had complications of the previous neuro-surgery and died. A complete autopsy was performed and no residual fungal disease was found.

journal_name

Rev Inst Med Trop Sao Paulo

journal_title

Revista do Instituto de Medicina Tropical de Sao Paulo

authors

Nóbrega JP,Rosemberg S,Adami AM,Heins-Vaccari EM,Lacaz Cda S,de Brito T

doi

10.1590/s0036-46652003000400008

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

217-20

issue

4

eissn

0036-4665

issn

1678-9946

pii

S0036-46652003000400008

journal_volume

45

pub_type

杂志文章

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