CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA

Prithvi Varghese; Muhammed Jasim Abdul Jalal; Suhail Ahmad; Ziauddin Khan; Molly Johny; Pushpa Mahadevan; Leena Joseph; Rachel Chandy; Susy Paul

doi:10.5455/ijsm.neurosurgery01

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Case Report
Online Published: 31 Jan 2016

Int J Surg Med. 2016; 2(1): 44-49

doi: 10.5455/ijsm.neurosurgery01

CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul.

Cited By: 3

Abstract
We report a case of cerebral phaeohyphomycosis caused by a dematiaceous fungus, Fonsecaea monophora, in a patient with type 2 diabetes mellitus and decompensated chronic liver disease. CT brain revealed a 2x2cm hypodense cystic lesion in the right lentiform nucleus region with significant perilesional edema. Stereotactic burr hole aspiration of the lesion with biopsy of the abscess wall was done, and the aspirated pus from the lesion showed branched, septate hyphae with light brown pigmentation. The culture of the pus grew a dematiaceous fungus, identified by morphological and molecular studies as Fonsecaea monophora. The isolate was susceptible to voriconazole (MIC, 0.004 µg/ml) but showed reduced susceptibility to amphotericin B (MIC, four µg/ml). The patients caregivers were not willing for a decompressive procedure and hence was treated medically with combined Amphotericin B and voriconazole antifungal therapy. Ultimately, the patient expired due to raised intracranial tension and resultant brain-stem dysfunction. It is the first case of cerebral phaeohyphomycosis caused by Fonsecaea monophora reported from India.

Key words: Brain Abscess; Cerebral phaeohyphomycosis; Dematiaceous fungus; Fonsecaea monophora

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This Article Cited By the following articles

Fonsecaea and Chromoblastomycosis Current Progress in Medical Mycology 2017; (): 333-353.	1

Successful surgical excision of cerebral abscess caused by Fonsecaea monophora in an immunocompetent patient and review of literature Folia Microbiol 2019; 64(3): 383.	2

Genomics and Virulence of Fonsecaea pugnacius, Agent of Disseminated Chromoblastomycosis Front. Genet. 2020; 11(): .	3

How to Cite this Article

Pubmed Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. Int J Surg Med. 2016; 2(1): 44-49. doi:10.5455/ijsm.neurosurgery01

Web Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. https://www.ejos.org/?mno=206835 [Access: September 13, 2024]. doi:10.5455/ijsm.neurosurgery01

AMA (American Medical Association) Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. Int J Surg Med. 2016; 2(1): 44-49. doi:10.5455/ijsm.neurosurgery01

Vancouver/ICMJE Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. Int J Surg Med. (2016), [cited September 13, 2024]; 2(1): 44-49. doi:10.5455/ijsm.neurosurgery01

Harvard Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul (2016) CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. Int J Surg Med, 2 (1), 44-49. doi:10.5455/ijsm.neurosurgery01

Turabian Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. 2016. CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. International Journal of Surgery and Medicine, 2 (1), 44-49. doi:10.5455/ijsm.neurosurgery01

Chicago Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul. "CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA." International Journal of Surgery and Medicine 2 (2016), 44-49. doi:10.5455/ijsm.neurosurgery01

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Prithvi Varghese, Muhammed Jasim Abdul Jalal, Suhail Ahmad, Ziauddin Khan, Molly Johny, Pushpa Mahadevan, Leena Joseph, Rachel Chandy, Susy Paul (2016) CEREBRAL PHAEOHYPHOMYCOSIS CAUSED BY FONSECAEA MONOPHORA: FIRST REPORT FROM INDIA. International Journal of Surgery and Medicine, 2 (1), 44-49. doi:10.5455/ijsm.neurosurgery01

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