Fatal Curvularia brain abscess in a heart and kidney transplant recipient

Jose Armando Gonzales Zamora, Yogeeta Varadarajalu

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

A 42-year-old woman with history of heart failure status post orthotopic heart transplant and end stage renal disease presented to the hospital with decompensated heart failure that progressed to cardiogenic shock. She underwent a new orthotopic heart transplant and cadaveric donor kidney transplant. Three weeks later, she experienced right facial droop and right upper extremity weakness. Computed tomography showed a left frontal cortical lesion with vasogenic edema and a central hemorrhagic component. Given the concern for an angioinvasive mold infection, she was started on voriconazole and amphotericin B. Brain biopsy was performed and histopathology revealed septated hyphae with acute angle branching. Mycology culture isolated Curvularia sp. Unfortunately, her mental status deteriorated with subsequent development of multiorgan failure that led to death.

Original languageEnglish (US)
Article numbere00576
JournalIDCases
Volume17
DOIs
StatePublished - 2019

Keywords

  • Brain abscess
  • Curvularia
  • Transplant

ASJC Scopus subject areas

  • Infectious Diseases

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