Fungal brain abscess in a severely burned patient

Abstract Burn patients are particularly susceptible to atypical and opportunistic infections. Here we report an unusual case of a 40-year-old previously healthy man with a 74% TBSA burn injury who developed a presumed Fusarium brain abscess. This patient had a complicated infectious course including...

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Published in:Journal of burn care & research 2023-09, Vol.44 (5), p.1253-1257
Main Authors: Stevens, Audrey, Waldrop, Caitlyn, Mandell, Samuel, Abdelfattah, Kareem, Arnoldo, Brett, Akarichi, Chiaka O, Clark, Audra T
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container_end_page 1257
container_issue 5
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container_title Journal of burn care & research
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creator Stevens, Audrey
Waldrop, Caitlyn
Mandell, Samuel
Abdelfattah, Kareem
Arnoldo, Brett
Akarichi, Chiaka O
Clark, Audra T
description Abstract Burn patients are particularly susceptible to atypical and opportunistic infections. Here we report an unusual case of a 40-year-old previously healthy man with a 74% TBSA burn injury who developed a presumed Fusarium brain abscess. This patient had a complicated infectious course including ESBL E. coli and Elizabethkingia bacteremia and pneumonia, MRSA ventilator-associated pneumonia, Mycobacterium abscessus bacteremia, and Fusarium fungemia. After diagnosis with a fungal abscess on magnetic resonance imaging of the brain, the patient was treated with aspiration and appropriate antifungal therapies. The patient was eventually transitioned to comfort care and died on hospital day 167. This is the first published report of a Fusarium-related brain abscess since it was first reported in a case report of a burned child in 1974.
doi_str_mv 10.1093/jbcr/irad111
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title Fungal brain abscess in a severely burned patient
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