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Journal of Clinical Microbiology, February 2001, p. 804-807, Vol. 39, No. 2
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.2.804-807.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Invasive Fungal Sinusitis and Meningitis Due to Arthrographis kalrae in a Patient with AIDS

Peter V. Chin-Hong,1 Deanna A. Sutton,2 Marguerite Roemer,3 Mark A. Jacobson,1 and Judith A. Aberg1,2,*

Department of Medicine, University of California, San Francisco, and the Medical Service, San Francisco General Hospital,1 and Department of Laboratory Medicine, University of California, San Francisco General Hospital,3 San Francisco, California, and Fungus Testing Laboratory, Department of Pathology, The University of Texas Health Science Center, San Antonio, Texas2

Received 20 June 2000/Returned for modification 13 September 2000/Accepted 4 November 2000

We report the first described case of Arthrographis kalrae pansinusitis and meningitis in a patient with AIDS. The patient was initially diagnosed with Arthrographis kalrae pansinusitis by endoscopic biopsy and culture. The patient was treated with itraconazole for approximately 5 months and then died secondary to Pneumocytis carinii pneumonia. Postmortem examination revealed invasive fungal sinusitis that involved the sphenoid sinus and that extended through the cribiform plate into the inferior surfaces of the bilateral frontal lobes. There was also an associated fungal meningitis and vasculitis with fungal thrombosis and multiple recent infarcts that involved the frontal lobes, right caudate nucleus, and putamen. Post mortem cultures were positive for A. kalrae.

* Corresponding author. Mailing address: AIDS Clinical Trials Unit, Washington University School of Medicine, 4511 Forest Park Blvd., Suite 304, St. Louis, MO 63108. Phone: (314) 454-0058. Fax: (314) 361-5231. E-mail: jaberg{at}im.wustl.edu.

Journal of Clinical Microbiology, February 2001, p. 804-807, Vol. 39, No. 2
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.2.804-807.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.


This article has been cited by other articles:

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  • Xi, L., Fukushima, K., Lu, C., Takizawa, K., Liao, R., Nishimura, K. (2004). First Case of Arthrographis kalrae Ethmoid Sinusitis and Ophthalmitis in the People's Republic of China. J. Clin. Microbiol. 42: 4828-4831 [Abstract] [Full Text]  


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