Abstract | BACKGROUND: CASE DESCRIPTION: We describe one such case of a cerebral blastomycotic abscess, presenting in the absence of any systemic disease, which was initially thought to be a neoplasm. It was successfully treated by surgical resection followed by sequential amphotericin B and voriconazole. The patient did well with voriconazole therapy and was followed for voriconazole tolerance with liver function tests, which continued to be stable at 8 months past the initiation of therapy. At 12 months postoperatively, the patient was doing well and showed gradual improvement in a visual field cut, with no sign of recurrent infection. CONCLUSIONS: Isolated cerebral blastomycosis can present a diagnostic challenge. In the absence of systemic infection, surgical resection followed by antifungal therapy is a logical treatment plan.
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Authors | Kanika Arora, Ross L Dawkins, David F Bauer, Cheryl A Palmer, James R Hackney, James M Markert |
Journal | Surgical neurology international
(Surg Neurol Int)
Vol. 6
Pg. 174
( 2015)
ISSN: 2229-5097 [Print] United States |
PMID | 26673672
(Publication Type: Case Reports)
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