ISSN:
1432-1076
Keywords:
Invasive aspergillosis
;
CNS-leukemia
;
amphotericin B-5
;
Fluorocytosine
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract A favourable outcome was observed in a 12 year-old boy who developed invasive pulmonary and cerebral aspergillosis during antineoplastic treatment for central nervous system relapse of acute lymphoblastic leukemia. Combination therapy with amphotericin B and 5-Fluorocytosine led to complete regression of pulmonary infiltrates. Despite enlargement of the cerebral lesion monitored by computerized tomography, no viable fungi were found in the completely resected abscess after a 4 weeks' course of antifungal treatment preceeding neurosurgery. Histological examination confirmed the diagnosis of an aspergillotic abscess. The initially severe neurological symptoms disappeared after successful surgery. Aspergillus fumigatus was detected in the soil of a potted ornamental plant in the mother's living room, suggesting that this might have been the source of the infectious agent.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00441214
Permalink
