Annals of Indian Academy of Neurology
CASE REPORT
Year
: 2010  |  Volume : 13  |  Issue : 3  |  Page : 213--215

An elusive diagnosis: Scedosporium apiospermum infection after near-drowning


Malini Gopinath1, Ajith Cherian1, Neeraj N Baheti1, Abhijit Das1, Molly Antony2, C Sarada1 
1 Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India
2 Department of Microbiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Correspondence Address:
Ajith Cherian
Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum - 695 011, Kerala
India

A 51-year-old male was admitted in our institute following an episode of near-drowning. He later developed ventriculitis and cerebral ring-enhancing lesions. He died following a subarachnoid hemorrhage due to rupture of a mycotic aneurysm involving the right fetal posterior cerebral artery. Scedosporium apiospermum was isolated from the cerebrospinal fluid. Central nervous system invasion by S apiospermum may present insidiously in near-drowning patients and, therefore, requires a high index of suspicion. In cases with the characteristic cerebral ring-enhancing lesions and concomitant ventriculitis, treatment should be instituted while awaiting fungal culture. With this article we intend to alert neurologists, intensivists, and physicians to this near fatal infection, as early identification and prompt treatment with voriconazole may be life saving.


How to cite this article:
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;13:213-215


How to cite this URL:
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 [serial online] 2010 [cited 2021 Apr 13 ];13:213-215
Available from: https://www.annalsofian.org/article.asp?issn=0972-2327;year=2010;volume=13;issue=3;spage=213;epage=215;aulast=Gopinath;type=0