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Ventriculitis due to infection with Rhizopus arrhizus

A 52-year-old heart–lung transplant patient presented to the emergency department with acute onset of neurologic symptoms. MRI showed ballooning of the left ventricle, midline shift and contrast enhancement in the anterior horn of the left ventricle. Ventricle neuroendoscopy revealed whitish, flocco...

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Detalles Bibliográficos
Autores principales: Hagel, Stefan, Ewald, Christian, Doenst, Torsten, Sachse, Svea, Roedel, Jürgen, Pletz, Mathias W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706622/
https://www.ncbi.nlm.nih.gov/pubmed/26862476
http://dx.doi.org/10.1016/j.mmcr.2015.12.004
Descripción
Sumario:A 52-year-old heart–lung transplant patient presented to the emergency department with acute onset of neurologic symptoms. MRI showed ballooning of the left ventricle, midline shift and contrast enhancement in the anterior horn of the left ventricle. Ventricle neuroendoscopy revealed whitish, floccose aerial structures within the left ventricle. Brain biopsy cultures grew Rhizopus arrhizus. Therapy with liposomale amphotericin B and posaconazole was performed. Except for hemianopsia and deficits in minute motor activity, the patient completely recovered.