Stroke due to septic embolism resulting from Aspergillus aortitis in an immunocompetent patient
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Identificadores
URI: http://hdl.handle.net/10835/15787
DOI: 10.1016/j.jns.2009.04.037
DOI: 10.1016/j.jns.2009.04.037
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Abenza-Abildúa, María José; Fuentes-Gimeno, Blanca; Morales-Bastos, Carmen; Aguilar-Amat, María José; Martínez Sánchez, Patricia; [et al.]Fecha
2009-09-15Resumen
Introduction
Cerebral infarction secondary to Aspergillus arteritis or septic embolism is an exceptional finding. We present a case of multiple systemic embolism and cerebral infarction resulting from Aspergillus aortitis in an immunocompetent patient.
Patient
A 65-year-old male with hypertension, hyperglycaemia and myocardial infarction with aorto-coronary by-pass surgery three years before admission, that suffered cerebral infarction in middle right cerebral artery territory and right cubital artery embolism. One month later he presented abrupt increase of his left hemiparesia and left central facial palsy associated with fever of unknown origin. Laboratory test, cranial CT and echocardiogram were performed. He died ten days later.
Results
Hemogram: leucocytes 34.700/μL (85% N, 4.8%L). Cranial CT: cerebral infarction in middle right cerebral artery territory. Transthoracic and transesophageal echocardiogram: moderate left ventricular hypertrophy and slight inferior hypokinesis. ...
Palabra/s clave
Stroke, Embolism, Aspergillus, Fungal infections, CT