A case of subarachnoid and intracerebral hemorrhages complicated by trichosporonosis

Shunsuke Shibao; Makoto Kaburaki; Katsuya Saito; Hideyuki Tomita

doi:10.25259/SNI_780_2022

A case of subarachnoid and intracerebral hemorrhages complicated by trichosporonosis

Surg Neurol Int. 2022 Oct 14:13:472. doi: 10.25259/SNI_780_2022. eCollection 2022.

Authors

Shunsuke Shibao¹, Makoto Kaburaki², Katsuya Saito¹, Hideyuki Tomita¹

Affiliations

¹ Department of Neurosurgery, Ashikaga Red Cross Hospital, Ashikaga, Japan.
² Department of Internal Medicine, Ashikaga Red Cross Hospital, Ashikaga, Japan.

Abstract

Background: Trichosporonosis has an extremely poor prognosis. In this report, we describe a case of subarachnoid hemorrhage and intracerebral hemorrhage due to a fungal aneurysm caused by Trichosporon.

Case description: A 71-year-old woman who experienced subcortical hemorrhage developed a subarachnoid hemorrhage. Endovascular parent artery occlusion was performed for a fungal aneurysm in the left posterior cerebral artery caused by Trichosporon. After surgery, voriconazole and liposomal amphotericin B were administered. The patient died of massive left putamen hemorrhage.

Conclusion: Effective treatment for intracranial hemorrhage due to trichosporonosis has not yet been established and an accumulation of cases is required.

Keywords: Fungal aneurysm; Intracerebral hemorrhage; Subarachnoid hemorrhage; Trichosporonosis.

Publication types

Case Reports