| Intraventricular fungus ball: a unique manifestation of refractory intracranial candidiasis in an immunocompetent neonate. | |
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MedLine Citation:
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PMID: 19951049 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors report on a case of intracranial candidiasis in an immunocompetent neonate with a ventriculo-peritoneal shunt. The child was known to be colonized with yeast as she had been treated for oral thrush; however, she did not have systemic candidiasis. Despite initial treatment with antifungal medication, intraventricular fungus balls developed that were visible on imaging and confirmed with pathological analysis. Multiple endoscopic intraventricular operations were required for excision of the initial and recurrent fungus balls, multiple fenestrations of loculations and cysts were performed, and ultimately 3 ventriculoperitoneal shunts were placed. The finding of an intraventricular fungus ball is a unique manifestation of intracranial candidiasis, and to the authors' knowledge has not been previously reported in the English literature. |
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Authors:
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Mandy J Binning; Janet Lee; Emily A Thorell; Jay K Riva-Cambrin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery. Pediatrics Volume: 4 ISSN: 1933-0715 ISO Abbreviation: - Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-02 Completed Date: 2009-12-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101463759 Medline TA: J Neurosurg Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 584-7 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Primary Children's Medical Center, University of Utah, Salt Lake City, Utah, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Amphotericin B / administration & dosage Antifungal Agents / administration & dosage Brain Diseases / diagnosis*, drug therapy, pathology, surgery Candidiasis / diagnosis*, drug therapy, pathology, surgery Echinocandins / administration & dosage Endoscopy Ependyma* Female Fluconazole / administration & dosage Humans Immunocompetence* Infant, Newborn Injections, Spinal Magnetic Resonance Imaging Postoperative Care Recurrence Reoperation Ventriculoperitoneal Shunt |
| Chemical | |
Reg. No./Substance:
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0/Antifungal Agents; 0/Echinocandins; 0/caspofungin; 1397-89-3/Amphotericin B; 86386-73-4/Fluconazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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