Aspergillus fumigatus cerebral abscess following hemodialysis: A case report

• Published in: Current medical mycology Vol. 8; no. 4; pp. 31 - 35
• Main Authors: Sagar, Tanu, Sheoran, Lata, Prajapati, Ajay, Khuraijam, BemBem, Pratin Jana, Partha, Pandey, PN, Saxena, Sonal
• Format: Journal Article
• Language: English
• Published: Iran, Sari Iranian Society of Medical Mycology 01-12-2022; Mazandaran University of Medical Sciences
• Subjects: aspergillus fumigatus; Case Report; cerebral abscess; hemodialysis
• ISSN: 2423-3439; 2423-3420
• DOI: 10.32598/CMM.2023.1323

Background and Purpose: Cerebral aspergillosis is a notorious disease that causes rapid clinical deterioration and carries a poor prognosis. Therefore, it requires timely diagnosis and prompt management. Case Report: This study reports a case of fungal cerebral abscess in a 26years old man following hemodialysis,2 months afterdengue-induced acute kidney disease. Aspergillus fumigatus was recovered from a brain abscess specimen that was subjected to a parietal craniotomy. The patient was successfully treated with oral Voriconazole 400mg BD for 2 days, followed by 200 mg BD for 3months Conclusion: Hemodialysis patients are at high risk offungal infections due to the frequent use of catheters or the insertion of needles to access the bloodstream. Therefore, a high index of suspicion of fungal infection is required in patients with hemodialysis by the clinician for early diagnosis and treatment.