Ali Zafar, Usman Muhammad, Rehman Usama, Anwar Fatima
Department of Histopathology, Shifa International Hospital, Islamabad, Pakistan.
Department of Microbiology, Shifa International Hospital, Islamabad, Pakistan.
J Coll Physicians Surg Pak. 2021 Sep;31(9):1114-1116. doi: 10.29271/jcpsp.2021.09.1114.
Cerebral phaeohyphomycosis refers to central nervous system infection caused by dematiaceous molds, which have many genuses. Cladophialophora bantiana is a member of the phylum ascomycota, which is found in soil samples from all over the world. This organism typically infects immunocompromised patients and associated with 70% mortality rate even after weeks of antifungal agent administration and surgical debridement. Two such cases of fungal brain abscess caused by cladophialophora bantiana were presented here. Both patients presented with complaints of headache, vomiting, drowsiness and impaired cognition. A brain biopsy together with microbiological culture and VITEK 2 helped in reaching to a final diagnosis. Key Words: Cladophialophora bantiana, Dematiaceous, Intracerebral, Phaeohyphomycosis.
脑暗色丝孢霉病是指由多种暗色霉菌引起的中枢神经系统感染。班替枝孢霉是子囊菌门的成员,在世界各地的土壤样本中都有发现。这种病原体通常感染免疫功能低下的患者,即使在使用抗真菌药物数周并进行手术清创后,死亡率仍高达70%。本文介绍了两例由班替枝孢霉引起的真菌性脑脓肿病例。两名患者均主诉头痛、呕吐、嗜睡和认知障碍。脑活检以及微生物培养和VITEK 2系统有助于做出最终诊断。关键词:班替枝孢霉;暗色;脑内;暗色丝孢霉病