Title: Mycotic aneurysm of the basilararteryof the brain ina 12-year-old boy with acute lymphoblastic leukemia
- Tomasz Ociepa, Eliza Maloney, Elżbieta Kamieńska, Wojciech Poncyljusz, Katarzyna Karpińska, Tomasz Urasiński
- Case Reports
- Medical Mycology
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- Final page:
- mycotic aneurysm, leukemia, children, magnetic resonance imaging, cerebral angiography
The increasing incidence of invasive fungal infections has become a one of the most frequent complications in the treatment of children with leukemia. The symptoms of invasive fungal infections are not specific. However, despite the progress that has been made in the diagnosis of fungal infections (microbiology analysis, serological tests, molecular diagnosis), radiological examinations still remain one of the most important diagnostic tool. We report on the case of a 12-year-old boy with acute lymphoblastic leukemia on maintenance therapy who developed an aneurysm of the basilar artery of the brain. Neurosurgical intervention was not made due to locali-zation of the aneurysm and the riskof fatal complications. Unfortunately the patient died due to an intracranial hemorrhage. A mycotis aneurysm caused by Aspergillus infection of this artery wasfound at the autopsy.This type of vascular malformation is unusual, especially in the pediatric population, but it should be taken under consideration in immunocompromised patients.