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BRAIN ABSCESS DUE TO HORMODENDRUM DERMATITIDIS ( KANO) CONANT , 1953 —Report of a Case and Review of the Literature—
Author(s) -
Shimazono Yasuo,
Isaki Kiminori,
Torii Hosaku,
Otsuka Ryosaku,
Fukushiro Hyoichi
Publication year - 1963
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1963.tb00684.x
Subject(s) - chromoblastomycosis , brain abscess , blastomycosis , pathology , anatomy , abscess , autopsy , blastomyces dermatitidis , medicine , surgery
Summary 1. A caw of brain abscess due to Hormodendrum dermatitidis was reported. The patient, 30 years of age, had a rather rapid onset of the disease with headache, left hemiplegia, meningeal signs and slight clouding of consciousness, which were further aggravated till her death 85 days after the onset. 2. Autopsy revealed a number of dark greenish‐brown or dark‐red nodules, the size af the little‐finger tip or smaller, which were found around the basilar arteries, in the cisterna basalis and on both sides of the occipital and parietal lobes. On sectioning, many similar greenish‐ to dark‐brown mftening foci, some of which were irregularly coalescent, were found in the white substance of the right frontal and left temporal lobes, and in several areas of the basal ganglia. 3. These nodules consisted of numerous fungal elements and surrounding suppurative exudates. Some of the discolored necrotic foci were composed of fungal elements with little cell reactions; some others showed abscess formations filled with suppurative exsudates and fungal elements surrounded by granulation tissues. 4. The fungus, Homcdendrum dermatitidis ( Kano) Conant , 1953, has never been recorded as the cause of chromoblastomycosis of the central nervous system, except that in the present case. 5. Twenty‐three cases of brain chromoblastomycosis, including ours, were briefly reviewed. Clinical features and pathological findings of this disease were discussed.