Abstract
A 32-year-old male patient developed headaches, vomiting, blurring of vision, and focal seizures of the left side of the face 2 months after a renal transplant. He developed a brain abscess and died. Direct KOH examination of the brain tissue demonstrated hyaline as well as dematiaceous, septate hyphae. Histologic examination of brain sections revealed polymorphous fungal elements consisting of septate, dark-pigmented hyphae, intercalary and terminal swollen fungal cells, and budding yeastlike cells characteristic of phaeohyphomycosis. Chaetomium globosum was isolated from the brain tissue on all of the fungal media used. This case represents the first histologically and culturally documented phaeohyphomycotic brain infection caused by C. globosum.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ajello L., Georg L. K., Steigbigel R. T., Wang C. J. A case of phaeohyphomycosis caused by a new species of Phialophora. Mycologia. 1974 May-Jun;66(3):490–498. [PubMed] [Google Scholar]
- Alderson D., Strong A. J., Ingham H. R., Selkon J. B. Fifteen-year review of the mortality of brain abscess. Neurosurgery. 1981 Jan;8(1):1–6. doi: 10.1227/00006123-198101000-00001. [DOI] [PubMed] [Google Scholar]
- BINFORD C. H., THOMPSON R. K., GORHAM M. E. Mycotic brain abscess due to Cladosporium trichoides, a new species; report of a case. Am J Clin Pathol. 1952 Jun;22(6):535–542. doi: 10.1093/ajcp/22.6.535. [DOI] [PubMed] [Google Scholar]
- Brewer N. S., MacCarty C. S., Wellman W. E. Brain abscess: a review of recent experience. Ann Intern Med. 1975 Apr;82(4):571–576. doi: 10.7326/0003-4819-82-4-571. [DOI] [PubMed] [Google Scholar]
- CONEN P. E., WALKER G. R., TURNER J. A., FIELD P. Invasive primary aspergillosis of the lung with cerebral metastasis and complete recovery. Dis Chest. 1962 Jul;42:88–94. doi: 10.1378/chest.42.1.88. [DOI] [PubMed] [Google Scholar]
- Chun C. H., Johnson J. D., Hofstetter M., Raff M. J. Brain abscess. A study of 45 consecutive cases. Medicine (Baltimore) 1986 Nov;65(6):415–431. [PubMed] [Google Scholar]
- Crichlow D. K., Enrile F. T., Memon M. Y. Cerebellar abscess due to Cladosporium trichoides (bantianum): case report. Am J Clin Pathol. 1973 Sep;60(3):416–421. doi: 10.1093/ajcp/60.3.416. [DOI] [PubMed] [Google Scholar]
- Davis N. D., Wagener R. E., Morgan-Jones G., Diener U. L. Toxigenic thermophilic and thermotolerant fungi. Appl Microbiol. 1975 Apr;29(4):455–457. doi: 10.1128/am.29.4.455-457.1975. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fuste F. J., Ajello L., Threlkeld R., Henry J. E., Jr Drechslera hawaiiensis: causative agent of a fatal fungal meningo-encephalitis. Sabouraudia. 1973 Mar;11(1):59–63. doi: 10.1080/00362177385190131. [DOI] [PubMed] [Google Scholar]
- Gallis H. A., Berman R. A., Cate T. R., Hamilton J. D., Gunnells J. C., Stickel D. L. Fungal infection following renal transplantation. Arch Intern Med. 1975 Sep;135(9):1163–1172. [PubMed] [Google Scholar]
- Hoppin E. C., McCoy E. L., Rinaldi M. G. Opportunistic mycotic infection caused by Chaetomium in a patient with acute leukemia. Cancer. 1983 Aug 1;52(3):555–556. doi: 10.1002/1097-0142(19830801)52:3<555::aid-cncr2820520328>3.0.co;2-v. [DOI] [PubMed] [Google Scholar]
- Huppert M., Oliver D. J., Sun S. H. Combined methenamine-silver nitrate and hematoxylin & eosin stain for fungi in tissues. J Clin Microbiol. 1978 Nov;8(5):598–603. doi: 10.1128/jcm.8.5.598-603.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Idriss Z. H., Gutman L. T., Kronfol N. M. Brain abscesses in infants and children: current status of clinical findings, management and prognosis. Clin Pediatr (Phila) 1978 Oct;17(10):738-40, 745-6. doi: 10.1177/000992287801701002. [DOI] [PubMed] [Google Scholar]
- Kagawa M., Takeshita M., Yato S., Kitamura K. Brain abscess in congenital cyanotic heart disease. J Neurosurg. 1983 Jun;58(6):913–917. doi: 10.3171/jns.1983.58.6.0913. [DOI] [PubMed] [Google Scholar]
- McGinnis M. R., Borelli D., Padhye A. A., Ajello L. Reclassification of Cladosporium bantianum in the genus Xylohypha. J Clin Microbiol. 1986 Jun;23(6):1148–1151. doi: 10.1128/jcm.23.6.1148-1151.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Middleton F. G., Jurgenson P. F., Utz J. P., Shadomy S., Shadomy H. J. Brain abscess caused by Cladosporium trichoides. Arch Intern Med. 1976 Apr;136(4):444–448. [PubMed] [Google Scholar]
- Morton S. J., Midthun K., Merz W. G. Granulomatous encephalitis caused by Bipolaris hawaiiensis. Arch Pathol Lab Med. 1986 Dec;110(12):1183–1185. [PubMed] [Google Scholar]
- Pierce P. F., Jr, Solomon S. L., Kaufman L., Garagusi V. F., Parker R. H., Ajello L. Zygomycetes brain abscesses in narcotic addicts with serological diagnosis. JAMA. 1982 Dec 3;248(21):2881–2882. [PubMed] [Google Scholar]
- Rifkind D., Marchioro T. L., Schneck S. A., Hill R. B., Jr Systemic fungal infections complicating renal transplantation and immunosuppressive therapy. Clinical, microbiologic, neurologic and pathologic features. Am J Med. 1967 Jul;43(1):28–38. doi: 10.1016/0002-9343(67)90146-5. [DOI] [PubMed] [Google Scholar]
- Rosenblum M. L., Hoff J. T., Norman D., Weinstein P. R., Pitts L. Decreased mortality from brain abscesses since advent of computerized tomography. J Neurosurg. 1978 Nov;49(5):658–668. doi: 10.3171/jns.1978.49.5.0658. [DOI] [PubMed] [Google Scholar]
- Walsh T. J., Hier D. B., Caplan L. R. Aspergillosis of the central nervous system: clinicopathological analysis of 17 patients. Ann Neurol. 1985 Nov;18(5):574–582. doi: 10.1002/ana.410180511. [DOI] [PubMed] [Google Scholar]
- Ziza J. M., Dupont B., Boissonnas A., Meyniard O., Bedrossian J., Drouhet E., Cremer G. A. Ostéoarthrites à champignons noirs (dématiés). A propos de 3 observations. Ann Med Interne (Paris) 1985;136(5):393–397. [PubMed] [Google Scholar]