An unusual infection, an unusual outcome—Fonsecaea pedrosoi cerebral granuloma

Case report

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  • 1 Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry; and
  • 2 Departments of Neurosurgery,
  • 3 Neuropathology, and
  • 4 Neuromicrobiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
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Phaeohyphomycosis is caused by pigmented fungi that are not normally pathogenic. Fonsecaea is a rare cause of cerebral infections, most of which are caused by F. monophora. Brain infections caused by F. pedrosoi are very rare, and there are only a few case reports describing this. Most infections take the form of abscesses (epidural or intracerebral). The authors report a rare case of a contained fungal granuloma caused by F. pedrosoi. The patient presented with epilepsy, which was treated as a case of extratemporal lesion–related epilepsy. The diagnosis was made after resection. The authors describe the clinical course of this patient.

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Contributor Notes

Address correspondence to: Indira Devi Bhagavatula, M.Ch., Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences, Hosur Road, Bangalore 560029, India. email: bidevidr@gmail.com.
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