Messori Anna, Lanza Cecilia, De Nicola Maurizio, Menichelli Francesco, Capriotti Tiziana, Morabito Letterio, Salvolini Ugo
Neuroradiological Clinic, General Hospital Umberto I, Ancona, Italy.
AJNR Am J Neuroradiol. 2002 Nov-Dec;23(10):1697-9.
Intracranial true mycotic aneurysms are rare and generally lethal. We report a case of a near-drowned child with brain abscesses due to Pseudallescheria boydii, a saprophytic fungus, who died after subarachnoid hemorrhage occurred. CT showed contrast-enhancing lesions indicative of aneurysms of basilar and right posterior cerebral arteries that could not be appreciated 2 days before. P. boydii is often resistant to commonly used antimycotic drugs. Because CNS infection is frequently associated with near-drowning, early diagnosis and specific therapy are strongly recommended for these patients.
颅内真性真菌性动脉瘤罕见且通常致命。我们报告一例因博伊德假阿利什霉（一种腐生真菌）导致脑脓肿的近乎溺亡儿童病例，该患儿在蛛网膜下腔出血后死亡。CT显示有强化病变，提示基底动脉和右侧大脑后动脉存在动脉瘤，而两天前并未发现这些病变。博伊德假阿利什霉通常对常用抗真菌药物耐药。由于中枢神经系统感染常与近乎溺亡相关，强烈建议对这些患者进行早期诊断和特异性治疗。
