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Epidural abscess caused by Schizophyllum commune: A rare case of rhinogenic cranial complication by a filamentous basidiomycete.
- Source :
-
Mycoses [Mycoses] 2018 Mar; Vol. 61 (3), pp. 213-217. Date of Electronic Publication: 2017 Dec 05. - Publication Year :
- 2018
-
Abstract
- Central nervous system (CNS) infections due to filamentous basidiomycetes are extremely rare. We encountered a case of epidural abscess due to Schizophyllum commune that extended from sinusitis. A 53-year-old Japanese man presented at our hospital with a headache. Computed tomography (CT) of the cranium and sinuses showed ethmoid and sphenoid sinusitis with no intracranial abnormalities. The patient was diagnosed with acute sinusitis and underwent antibiotic treatment. However, the symptoms deteriorated, and the patient came to our hospital again with consciousness disturbance. CT scan of the cranium and sinuses showed no improvement of sinusitis after antibiotic therapy and an epidural abscess emerged in the middle cranial fossa. Therefore, emergency craniotomy and endoscopic sinus fenestration were performed. Filamentous fungal elements were observed in both rhinorrhoea and epidural abscess. The symptoms improved after the operation and administration of liposomal amphotericin B. The clinical isolate was identified as S. commune by a molecular-based method. To our knowledge, this is the first report of epidural abscess due to this fungus. Although rare, clinicians should be aware that S. commune could be a causative agent of CNS infections.<br /> (© 2017 Blackwell Verlag GmbH.)
- Subjects :
- Amphotericin B administration & dosage
Amphotericin B therapeutic use
Anti-Bacterial Agents therapeutic use
Epidural Abscess complications
Humans
Male
Middle Aged
Mycoses complications
Paranasal Sinuses diagnostic imaging
Schizophyllum drug effects
Schizophyllum genetics
Sinusitis diagnosis
Sinusitis drug therapy
Sinusitis microbiology
Skull diagnostic imaging
Skull microbiology
Tomography Scanners, X-Ray Computed
Treatment Outcome
Epidural Abscess microbiology
Mycoses microbiology
Paranasal Sinuses microbiology
Schizophyllum isolation & purification
Subjects
Details
- Language :
- English
- ISSN :
- 1439-0507
- Volume :
- 61
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Mycoses
- Publication Type :
- Report
- Accession number :
- 29125646
- Full Text :
- https://doi.org/10.1111/myc.12729