A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host

Here we present a case of a 41-year old immunocompetent female from central Maryland, who presented with new onset seizures. Magnetic resonance imaging of brain revealed a solitary ring-enhancing lesion. Stereotactic brain biopsy confirmed Blastomyces dermatitidis brain abscess. Patient's clini...

Descripción completa

Detalles Bibliográficos
Autores principales: Slomka, Magdalena, Doub, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090280/
https://www.ncbi.nlm.nih.gov/pubmed/32215246
http://dx.doi.org/10.1016/j.mmcr.2020.03.001
_version_ 1783509899537285120
author Slomka, Magdalena
Doub, James
author_facet Slomka, Magdalena
Doub, James
author_sort Slomka, Magdalena
collection PubMed
description Here we present a case of a 41-year old immunocompetent female from central Maryland, who presented with new onset seizures. Magnetic resonance imaging of brain revealed a solitary ring-enhancing lesion. Stereotactic brain biopsy confirmed Blastomyces dermatitidis brain abscess. Patient's clinical course was complicated by voriconazole-induced pancytopenia that prompted surgical resection and amphothericin-induced severe hypokalemia necessitating change to high dose fluconazole. Four months after surgical resection, patient remains in radiographic and clinical remission.
format Online
Article
Text
id pubmed-7090280
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-70902802020-03-25 A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host Slomka, Magdalena Doub, James Med Mycol Case Rep Case Report Here we present a case of a 41-year old immunocompetent female from central Maryland, who presented with new onset seizures. Magnetic resonance imaging of brain revealed a solitary ring-enhancing lesion. Stereotactic brain biopsy confirmed Blastomyces dermatitidis brain abscess. Patient's clinical course was complicated by voriconazole-induced pancytopenia that prompted surgical resection and amphothericin-induced severe hypokalemia necessitating change to high dose fluconazole. Four months after surgical resection, patient remains in radiographic and clinical remission. Elsevier 2020-03-10 /pmc/articles/PMC7090280/ /pubmed/32215246 http://dx.doi.org/10.1016/j.mmcr.2020.03.001 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Slomka, Magdalena
Doub, James
A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title_full A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title_fullStr A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title_full_unstemmed A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title_short A rare case of Blastomyces dermatitidis brain abscess in an immunocompetent host
title_sort rare case of blastomyces dermatitidis brain abscess in an immunocompetent host
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090280/
https://www.ncbi.nlm.nih.gov/pubmed/32215246
http://dx.doi.org/10.1016/j.mmcr.2020.03.001
work_keys_str_mv AT slomkamagdalena ararecaseofblastomycesdermatitidisbrainabscessinanimmunocompetenthost
AT doubjames ararecaseofblastomycesdermatitidisbrainabscessinanimmunocompetenthost
AT slomkamagdalena rarecaseofblastomycesdermatitidisbrainabscessinanimmunocompetenthost
AT doubjames rarecaseofblastomycesdermatitidisbrainabscessinanimmunocompetenthost

Ejemplares similares