Aspergillus fumigatus cerebral abscess following hemodialysis: A case report

Abstract

Background and Purpose: Cerebral aspergillosis is a notorious disease that causesrapid clinical deterioration and carries a poor prognosis. Therefore, it requires timelydiagnosis and prompt management.Case Report: This study reports a case of fungal cerebral abscess in a 26years old manfollowing hemodialysis,2 months afterdengue-induced acute kidney disease. Aspergillus fumigatus was recovered from a brain abscess specimen that was subjected to a parietal craniotomy. The patient was successfully treated with oral Voriconazole 400mg BD for 2 days, followed by 200 mg BD for 3monthsConclusion: Hemodialysis patients are at high risk offungal infections due to thefrequent use of catheters or the insertion of needles to access the bloodstream. Therefore, a high index of suspicion of fungal infection is required in patients with hemodialysis by the clinician for early diagnosis and treatment.

Keywords

• aspergillus fumigatus
• cerebral abscess
• hemodialysis