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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 55, No. 3, 2007, pp. 301-303
Bioline Code: ni07092
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 55, No. 3, 2007, pp. 301-303

 en Response of central nervous system aspergillosis to voriconazole
Balasubramaniam, Prakash; Madakira, Pranesh B.; Ninan, Anish & Swaminathan, Aarthi


Fungal infections of the central nervous system (CNS) usually present as subacute meningitis. Other manifestations include mass effect and focal neurological deficits. [1] Cerebrospinal fluid (CSF) examination and biopsy of the lesion are helpful in disclosing the organism involved. Aspergillosis presents as brain abscess or granuloma with predominant neutrophils in CSF. Voriconazole is a broad spectrum triazole antifungal agent. It can be given orally and has lesser adverse effects We report a 69-years-old diabetic male, with aspergilloma of para-nasal sinus invading the CNS, who responded well to voriconazole treatment. He discontinued the medication by himself as it was costly. Within a month of stopping the medication, he developed features of subacute meningitis. However he showed clinical improvement after the medication was restarted. The case is reported for the clinical evidence of antifungal activity of voriconazole against aspergillosis.

Aspergilloma, aspergillosis, fungal granuloma, voriconazole

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