DIFFUSE MYELITIS AFTER TREATMENT OF CEREBRAL ASPERGILLOSIS IN AN IMMUNE COMPETENT PATIENT

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MOLLAHOSEINI REZA; NIKOOBAKHT MAHDI

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Journal Paper

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Journal: ACTA MEDICA IRANICA Year:2011 | Volume:49 | Issue:6 Page(s): 402-406

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Information Journal Paper

Title

DIFFUSE MYELITIS AFTER TREATMENT OF CEREBRAL ASPERGILLOSIS IN AN IMMUNE COMPETENT PATIENT

Author(s)

MOLLAHOSEINI REZA | NIKOOBAKHT MAHDI | Issue Writer Certificate

Keywords

ASPERGILLUS FUMIGATES

ASPERGILLOSIS

MYELITIS

Abstract

Presentation of an unusual case of cerebral ASPERGILLOSIS in an immune competent patient who was treated successfully but symptoms and signs of a demyelinating process following initial recovery has been occurred. A 29-year-old male with focal seizure. Brain MRI revealed small multiple hemispheric and dural lesions. An open biopsy was conducted. Histological evaluation revealed hyphe-like structure in the necrotic area, within vessel walls, and lumina, suggestive aspergillusfumigatus . Furthermore, brancheal hyphae in potassium hydrxide15% and colonies on sabourud dextrose agar were observed. Based of the above findings the patient underwent anti fungal therapy. The patient recovered and continued a normal life however a follow up MRI was performed after 3 months from recovery. No significant abnormality was observed from the MRI procedure. One month later the patient developed signs and symptoms of spinal cord involvement which seemed to be the result of MYELITIS. A brain MR showed no abnormalities .Therefore it seemed reasonable to administer corticosteroid as a treatment for suspected active demyelinating process. During the above treatment, signs and symptoms of myelopathy disappeared and a whole spine MRI showed remarkable improvement.

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APA: Copy

MOLLAHOSEINI, REZA, & NIKOOBAKHT, MAHDI. (2011). DIFFUSE MYELITIS AFTER TREATMENT OF CEREBRAL ASPERGILLOSIS IN AN IMMUNE COMPETENT PATIENT. ACTA MEDICA IRANICA, 49(6), 402-406. SID. https://sid.ir/paper/278361/en

Vancouver: Copy

MOLLAHOSEINI REZA, NIKOOBAKHT MAHDI. DIFFUSE MYELITIS AFTER TREATMENT OF CEREBRAL ASPERGILLOSIS IN AN IMMUNE COMPETENT PATIENT. ACTA MEDICA IRANICA[Internet]. 2011;49(6):402-406. Available from: https://sid.ir/paper/278361/en

IEEE: Copy

REZA MOLLAHOSEINI, and MAHDI NIKOOBAKHT, “DIFFUSE MYELITIS AFTER TREATMENT OF CEREBRAL ASPERGILLOSIS IN AN IMMUNE COMPETENT PATIENT,” ACTA MEDICA IRANICA, vol. 49, no. 6, pp. 402–406, 2011, [Online]. Available: https://sid.ir/paper/278361/en

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