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Charron TL, Gill MA, Filkins LM, Rajaram V, Wysocki CA, Whittemore BA. Obstructive hydrocephalus and intracerebral mass secondary to Epicoccum nigrum. Med Mycol Case Rep 2022; 35:18-21. [PMID: 35036296 PMCID: PMC8752875 DOI: 10.1016/j.mmcr.2022.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/16/2021] [Accepted: 01/03/2022] [Indexed: 11/21/2022] Open
Abstract
Here we report a case of a 14-week-old girl with a history of intrauterine drug exposure and hypoxic ischemic encephalopathy secondary to cardiac arrest requiring prolonged resuscitation at birth presented with irritability and a bulging anterior fontanelle. After neurosurgical resection, pathologic examination showed fungal hyphae, and Epicoccum nigrum was detected by fungal PCR and sequencing. To our knowledge, this is the first reported case of a central nervous system infection due to Epicoccum nigrum.
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Affiliation(s)
- Taylor L. Charron
- Department of Neurosurgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
| | - Michelle A. Gill
- Departments of Pediatrics and Immunology, Washington University School of Medicine in St. Louis, 660 S Euclid Ave, St. Louis, MO, 63110, USA
| | - Laura M. Filkins
- Department of Pathology, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
| | - Veena Rajaram
- Division of Pediatric Pathology and Neuropathology, Department of Pathology, Children’s Health, 1935 Medical District, Dallas, TX, 75235, USA
- Division of Pediatric Pathology and Neuropathology, Department of Pathology, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
| | - Christian A. Wysocki
- Divsion of Allergy and Immunology, Departments of Internal Medicine and Pediatrics, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
| | - Brett A. Whittemore
- Division of Pediatric Neurosurgery, Department of Neurosurgery, Children’s Health, 1935 Medical District, Dallas, TX, 75235, USA
- Division of Pediatric Neurosurgery, Department of Neurosurgery, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
- Corresponding author. Division of Pediatric Neurosurgery, Department of Neurosurgery, Children's Health, 1935 Medical District, Dallas, TX, 75235, USA.
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