Hemispheric Multiple Fungal Brain Abscesses Due to Scedosporium apiospermum Following Surgery

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Dr. Ravindra B Kamble
Mohan Rao Ravi
S. Raghavendra
Sreedharan Athmanathan

Abstract

We report an interesting and rare case of hemispheric multiple brain abscesses due to Scedosporium apiospermum which developed following neurosurgery and mimicked hemiconvulsion hemiplegia epilepsy syndrome on initial scans. Interestingly all the abscesses were only on the right side of cerebral hemisphere which later on spread to the other side. All the lesions had hemorrhagic walls seen as hypointensities on susceptibility weighted imaging. The patient succumbed to this fatal fungal brain infection.

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Case Report

How to Cite

Ravindra, B. K., Ravi, M. R., Raghavendra, S., & Athmanathan, S. (2025). Hemispheric Multiple Fungal Brain Abscesses Due to Scedosporium apiospermum Following Surgery. West African Journal of Radiology, 22(1), 52-55. https://doi.org/10.82235/wajr.vol22no1.287

References

1. Alexopoulos C, Mims C, Blackwell M. Introductory mycology. New York: Wiley and Sons; 1996.

2. Kwon‑Chung KJ, Bennet JE. Medical mycology. Philadelphia: Lea and Febiger; 1992. p. 678‑94.

3. Nesky MA, McDougal EC, Peacock JE Jr. Pseudallescheria boydii brain abscess successfully treated with Voriconazole and surgical

drainage: Case report and literature review of central nervous system pseudallescheriasis. Clin Infect Dis 2000;31:673‑7.

4. Chanqueo L, Gutiérrez C, Tapia C, Silva V, Razeto L, Misad C. Scedosporium apiospermum rhinosinusal infection in an

immunocompetent host. Rev Chilena Infectol 2009;26:453‑6.

5. Acharya A, Ghimire A, Khanal B, Bhattacharya S, Kumari N, Kanungo R. Brain abscess due to Scedosporium apiospermum

in a non immunocompromised child. Indian J Med Microbiol 2006;24:231‑2.

6. Gopinath M, Cherian A, Baheti NN, Das A, Antony M, Sarada C. An elusive diagnosis: Scedosporium apiospermum infection after

near‑drowning. Ann Indian Acad Neurol 2010;13:213‑5.

7. Freeman JL, Coleman LT, Smith LJ, Shield LK. Hemiconvulsion‑ hemiplegia‑epilepsy syndrome: Characteristic early magnetic

resonance imaging findings. J Child Neurol 2002;17:10‑6.

8. Wilichowski E, Christen HJ, Schiffmann H, Schulz‑Schaeffer W, Behrens ‑ Baumann W. Fatal Pseudalles cheriaboydii panencephalitis in a child after near‑drowning. Pediatr Infect Dis J 1996;15:365‑70.

9. Luthra G, Parihar A, Nath K, Jaiswal S, Prasad KN, Husain N, et al. Comparative evaluation of fungal, tubercular, and pyogenic brain abscesses with conventional and diffusion MR Imaging and Proton MR Spectroscopy. AJNR Am J Neuroradiol 2007;28:1332‑8.

10. Kershaw P, Freeman R, Templeton D, DeGirolami PC, DeGirolami U, Tarsy D, et al. Pseudallescheria boydii infection of the central

nervous system. Arch Neurol 1990;47:468‑72.

11. Kantarcioglu AS, Guarro J, de Hoog GS. Central nervous system infections by members of the Pseudallescheria boydii species complex in healthy and immunocompromised hosts: Epidemiology, clinical characteristics and outcome. Mycoses 2008;51:275‑90.

12. Wilson HL, Kennedy KJ. Scedosporium apiospermum brain

abscesses in an immunocompetent man with silicosis. Med Mycol

Case Rep 2013;2:75‑8.

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