Author/Editor		Bunc, Gorazd; Voršič, Matjaž
Title		Long-term survival following treatment of multiple supra- and infratentorial aspergillus brain abscesses
Type		članek
Source		Wien Klin Wochenschr
Vol. and No.		Letnik 113, št. Suppl 3
Publication year		2001
Volume		str. 69-74
Language		eng
Abstract		Aspergillus brain abscess is a rare but frequently fatal disease. Despite the scarcity of reported survivors, a combination of medication and surgical treatment might be effective. We report a 37-year-old man who developed multiple aspergillus brain abscesses after severe bacterial pneumonia. The following strategy was used to treat the patient: diagnostic puncture of one of the abscesses, longterm treatment with medication, excision of chronic granuloma in the occipital lobe and fourth ventricle, surgical treatment of the hydrocephalus. Following various surgical and antifungal treatments, the patient survived. Nearly three years after discharge, he still is in good physicial condition and has a moderate neurologic deficit. Only 36 patients have been reported to have survived longer than three months after receiving treatment for brain aspergillosis. A course of medication in combination with various surgical procedures was required to achieve a successful outcome in this otherwise fatal disease.
Descriptors		BRAIN ABSCESS ASPERGILLOSIS ADULT TOMOGRAPHY, X-RAY COMPUTED GLASGOW COMA SCALE INTENSIVE CARE UNITS ASPERGILLUS NIGER SURVIVAL ANALYSIS