Tambuzzi Stefano, Boracchi Michele, Maciocco Francesca, Tonello Cristina, Gentile Guendalina, Zoja Riccardo
Laboratorio di Istopatologia Forense e Microbiologia Medico Legale, Sezione di Medicina Legale e delle Assicurazioni, Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Luigi Mangiagalli, 37, 20133, Milano, Italy.
Ospedale S. Carlo Borromeo, Servizio di Immunoematologia e Medicina Trasfusionale (SIMT), Via Pio II, n°3, 20153, Milano, Italy.
Med Mycol Case Rep. 2019 Sep 25;26:25-27. doi: 10.1016/j.mmcr.2019.09.004. eCollection 2019 Dec.
In this case-report, the Authors show the case of a sudden death occurred in a 38-year-old woman submitted to surgical excision of a right acoustic neurinoma. At the autopsy, was detected a cerebral hemorrhage with multifocal localization by a ruptured rare fungal aneurysm of the Posterior Inferior Cerebellar Arthery (PICA). The PCR analysis, carried out on formalin-fixed paraffin-embedded tissue, identified the as the involved pathogen. We discuss the main points of infectious aneurysms, being a potential neurosurgical complication.
在本病例报告中，作者展示了一名38岁女性在接受右听神经瘤手术切除后突然死亡的病例。尸检时，通过小脑后下动脉（PICA）罕见的真菌性动脉瘤破裂发现了多灶性脑出血。对福尔马林固定石蜡包埋组织进行的PCR分析确定了所涉及的病原体。我们讨论了感染性动脉瘤作为一种潜在神经外科并发症的要点。
