Additional case of Ramichloridium mackenziei cerebral phaeohyphomycosis from the Middle East

In this report we describe a case of cerebral phaeohyphomycosis involving a 56-yearold Egyptian male who worked as a mason in Kuwait for 6 years. Computerized tomography scan of the brain revealed presence of a large abscess in the left occipital lobe. Aspirated pus from the abscess showed branched,...

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Published inMedical Mycology Vol. 40; no. 4; pp. 429 - 433
Main Authors Khan, Z. U., Lamdhade, S. J., Johny, M., Al-Khalidi, J., Thussu, A., Yossef, H. N., Al-Obaid, I., Nasser, A. A.
Format Journal Article
LanguageEnglish
Published Informa UK Ltd 2002
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Summary:In this report we describe a case of cerebral phaeohyphomycosis involving a 56-yearold Egyptian male who worked as a mason in Kuwait for 6 years. Computerized tomography scan of the brain revealed presence of a large abscess in the left occipital lobe. Aspirated pus from the abscess showed branched, septate, hyphae with light brown pigmentation. Cultured pus grew the fungus Ramichloridium mackenziei. Despite amphotericin B (1 mg kg-1 per day) therapy for 2 weeks, the patient expired. The isolate was later found to be resistant to amphotericin B (>32 g ml-1). Antifungal susceptibility testing to other agents was also performed.
ISSN:1362-3095
DOI:10.1080/mmy.40.4.429.433