A Case of Invasive Aspergillus Rhinosinusitis Presenting with Unilateral Visual Loss and Subsequently Associated with Meningitis, Subarachnoid Hemorrhage, and Cerebral Infarction
Joint Authors
Hamano, Toshiaki
Oka, Yuwa
Tsuzaki, Koji
Murakata, Kenji
Kamei, Mayu
Kikuya, Akihiro
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Visual impairment can occur because of several mechanisms, including optic nerve disease and occasionally fungal sinusitis.
An 87-year-old man presented with the loss of right visual acuity; he was diagnosed with optic neuritis.
Steroid pulse therapy was not effective.
One month later, he became unconscious because of meningitis, following which treatment with ceftriaxone and acyclovir was initiated.
However, his consciousness deteriorated because of a subarachnoid hemorrhage caused by a ruptured aneurysm.
Meningitis and vascular invasion caused by fungal rhinosinusitis were suspected, and the sinus mucosa was biopsied.
He was pathologically diagnosed with invasive Aspergillus rhinosinusitis.
Despite continuous liposomal amphotericin B administration, he died of cerebral infarction, following a right internal carotid artery occlusion.
It is important to consider the possibility of Aspergillus as an etiological agent, especially when cerebrovascular events are associated with visual impairment.
American Psychological Association (APA)
Tsuzaki, Koji& Murakata, Kenji& Kamei, Mayu& Kikuya, Akihiro& Oka, Yuwa& Hamano, Toshiaki. 2020. A Case of Invasive Aspergillus Rhinosinusitis Presenting with Unilateral Visual Loss and Subsequently Associated with Meningitis, Subarachnoid Hemorrhage, and Cerebral Infarction. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149022
Modern Language Association (MLA)
Tsuzaki, Koji…[et al.]. A Case of Invasive Aspergillus Rhinosinusitis Presenting with Unilateral Visual Loss and Subsequently Associated with Meningitis, Subarachnoid Hemorrhage, and Cerebral Infarction. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1149022
American Medical Association (AMA)
Tsuzaki, Koji& Murakata, Kenji& Kamei, Mayu& Kikuya, Akihiro& Oka, Yuwa& Hamano, Toshiaki. A Case of Invasive Aspergillus Rhinosinusitis Presenting with Unilateral Visual Loss and Subsequently Associated with Meningitis, Subarachnoid Hemorrhage, and Cerebral Infarction. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149022
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149022