Chronic Leptomeningitis and Spinal Intradural Mass Secondary to Alternaria Infection in a Patient with Ventriculoperitoneal Shunt

Sanjeet S. Dadwal; Russell Thompson; Rahul Jandial; Bernard Tegtmeier; Mike Yue Chen

doi:10.1155/2016/4693409

Case Reports in Infectious Diseases (Jan 2016)

Chronic Leptomeningitis and Spinal Intradural Mass Secondary to Alternaria Infection in a Patient with Ventriculoperitoneal Shunt

Sanjeet S. Dadwal,
Russell Thompson,
Rahul Jandial,
Bernard Tegtmeier,
Mike Yue Chen

Affiliations

Sanjeet S. Dadwal: Division of Infectious Disease, City of Hope National Medical Center, Duarte, CA, USA
Russell Thompson: Washington University School of Medicine, St. Louis, MO, USA
Rahul Jandial: Division of Neurosurgery, City of Hope National Medical Center, Duarte, CA, USA
Bernard Tegtmeier: Division of Infectious Disease, City of Hope National Medical Center, Duarte, CA, USA
Mike Yue Chen: Division of Neurosurgery, City of Hope National Medical Center, Duarte, CA, USA

DOI: https://doi.org/10.1155/2016/4693409
Journal volume & issue: Vol. 2016

Abstract

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Fungal infection following placement of ventriculostomy or ventriculoperitoneal (VP) shunt is uncommon. We report the first case of Alternaria related central nervous system (CNS) shunt infection in a patient with CNS ependymoma manifesting as leptomeningitis and a spinal intradural mass. This case illustrates the diagnostic and management challenges.

Published in Case Reports in Infectious Diseases

ISSN: 2090-6625 (Print); 2090-6633 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases
Website: https://www.hindawi.com/journals/criid/

About the journal