Fungal cauda equina lesion with delayed cord compression and treatment response
| Autor: | Mary B. Ramundo, Cindy D. Noyes, Barbara Decker, Alissa Thomas |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
musculoskeletal diseases 0301 basic medicine medicine.medical_specialty Treatment response Antifungal Agents Cord 030106 microbiology Cauda equina syndrome Cauda Equina Syndrome Lesion Young Adult 03 medical and health sciences 0302 clinical medicine Central Nervous System Fungal Infections Candida albicans Humans Medicine Candidiasis Invasive Abscess biology business.industry Cauda equina General Medicine biology.organism_classification medicine.disease Spinal cord Surgery Treatment Outcome medicine.anatomical_structure Neurology (clinical) medicine.symptom business Spinal Cord Compression 030217 neurology & neurosurgery |
| Zdroj: | Clinical Neurology and Neurosurgery. 174:185-186 |
| ISSN: | 0303-8467 |
| DOI: | 10.1016/j.clineuro.2018.09.029 |
| Popis: | This is a 24 year old man with profound chronic hydrocephalus found to have a cauda equina abscess composed of Candida albicans. Prior literature reveals a paucity of central nervous system candidiasis. In these previously reported cases, there was evidence of local invasion of surrounding structures; however, this case is a sentinel report of a fungal abscess without evidence of local structural invasion. The patient's course was complicated by clinical and radiographic worsening to cauda equina syndrome, requiring emergent surgical decompression, despite appropriate antifungal treatment. This case illustrates the diagnostic challenge of this rare entity and the need for close follow up with this patient population. |
| Databáze: | OpenAIRE |
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