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01-05-2010 | Case Report

Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning

Authors: C. Ortmann, J. Wüllenweber, B. Brinkmann, T. Fracasso

Published in: International Journal of Legal Medicine | Issue 3/2010

Abstract

Pseudallescheria boydii is a rare cause of mycotic infection. Factors predisposing to systemic infection include traumas, immunosuppression, and near drowning. We report a case of multiple aneurysms caused by this hyalohyphomycete, occurred after near drowning. The car driven by a 53-year-old woman plunged into a canal in The Netherlands. After a 20-min-long submersion, the woman was rescued. At hospital, a severe aspiration of muddy water and a mycotic pneumonia were diagnosed. Despite the immediate prescription of a long-term antimycotic therapy and the initial good response, the patient died 4 months later. The autopsy showed a mycotic aneurysm of the abdominal aorta and multiple ruptured mycotic aneurysms of the circle of Willis with fatal subarachnoid bleeding.

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Title: Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning
Authors: C. Ortmann
J. Wüllenweber
B. Brinkmann
T. Fracasso
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: International Journal of Legal Medicine / Issue 3/2010
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-009-0336-9

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Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning

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