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Erschienen in: International Journal of Legal Medicine 3/2010

01.05.2010 | Case Report

Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning

verfasst von: C. Ortmann, J. Wüllenweber, B. Brinkmann, T. Fracasso

Erschienen in: International Journal of Legal Medicine | Ausgabe 3/2010

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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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Metadaten
Titel
Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning
verfasst von
C. Ortmann
J. Wüllenweber
B. Brinkmann
T. Fracasso
Publikationsdatum
01.05.2010
Verlag
Springer-Verlag
Erschienen in
International Journal of Legal Medicine / Ausgabe 3/2010
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-009-0336-9

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