Aspergillus fumigatus infection of the optic nerve with mycotic arteritis of cer

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Aspergillus fumigatus infection of the optic nerve with mycotic

arteritis of cerebral vessels

http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-

2559.1982.tb02717.x

S. S. E. FERNANDO11Department of Pathology, Royal Prince Alfred

Hospital, Camperdown. New South Wales, Australia & C. S.

LAUER11Department of Pathology, Royal Prince Alfred Hospital,

Camperdown. New South Wales, Australia1Department of Pathology,

Royal Prince Alfred Hospital, Camperdown. New South Wales, Australia

Address for correspondence: Dr S. S. E. , Department of

Pathology, The Liverpool Hospital, PO Box 103, Liverpool, NSW 2170,

Australia

Abstract

A 56-year-old Caucasian male, with no obvious immune deficit or

systemic disease, presented with unilateral loss of vision due to A.

fumigatus infection involving the right optic nerve. There was no

proptosis. Despite fungal chemotherapy he developed central nervous

system involvement with mycotic arteritis of the branches of the

right middle cerebral artery, temporal lobe infarction and rupture

of a mycotic aneurysm of the right internal carotid artery, and

died. Review of the literature concerning orbital Aspergillus

infection showed both this form of presentation and a rapidly fatal

course to be unusual.

This article is cited by:

C. M. Brust, P. C. Dickinson, E. O. ,

N. N. Holtzman. (1990) The diagnosis and treatment of cerebral

mycotic aneurysms. ls of Neurology 27:3, 238

CrossRef

G. P. Bodey, S. Vartivarian. (1989) Aspergillosis. European Journal

of Clinical Microbiology & Infectious Diseases 8:5, 413

CrossRef