Invasive sinus aspergillosis with mycotic aneurysm of the vertebral artery and subarachnoid hemorrhage : case report

Mencinger, Maruša (avtor), Matos, Tadeja (avtor), Šurlan Popović, Katarina (avtor)

Invasive sinus aspergillosis is a rare life-threatening condition usually found in immunocompromised patients. The fungus spreads from paranasal sinuses into the central nervous system by direct extension or through blood vessels. Perineural spread is an uncommon mechanism of spread in invasive aspergillosis. A mycotic aneurysm is a dangerous complication of invasive sinus aspergillosis because of its insidious development and is often diagnosed only post-mortem after causing fatal intracranial hemorrhage. Intracranial vascular complications of invasive sinus aspergillosis require prompt recognition and treatment and should always be considered when a diagnosis of CNS aspergillosis is made. We present a case of invasive sinus aspergillosis in an apparently immunocompetent patient that manifested with a brain abscess, perineural spread of the infection, and mycotic aneurysm of the vertebral artery with subsequent rupture and fatal subarachnoid hemorrhage. This case highlights the possibility of perineural spread and hemorrhagic complications in invasive cerebral aspergillosis.

• Jezik: Angleški jezik
• Ključne besede: aspergillosis, sinusitis, invasive sinus aspergillosis, mycotic aneurysm, perineural spread, subarachnoid hemorrhage
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.03 - Drugi znanstveni članki
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2021
• Št. strani: Str. 2651-2657
• Številčenje: Vol. 16, iss. 9
• PID: 20.500.12556/RUL-138710
• UDK: 616
• ISSN pri članku: 1930-0433
• DOI: 10.1016/j.radcr.2021.06.041
• COBISS.SI-ID: 71115267
• Datum objave v RUL: 10.08.2022

Gradivo je del revije

• Naslov: Radiology case reports
• Založnik: Elsevier, University of Washington
• ISSN: 1930-0433
• COBISS.SI-ID: 523758361

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: aspergiloza, sinuzitis, invazivna aspergiloza sinusov, mikotična anevrizma, subarahnoidna krvavitev