Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review

Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review

Vascular Pythiosis caused by Pythium insiodiosum rarely involves carotid artery. A case of concealed ruptured pseudoaneurysm of the carotid artery with neck abscesses, and cerebral septic emboli is described. Patient presented with large pulsatile neck mass that failed to response to surgery, antifu...

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Main Authors: Maria Nina Chitasombat, Porkaew Petchkum, Suthas Horsirimanont, Pattana Sornmayura, Ariya Chindamporn, Theerapong Krajaejun
Format: Article
Language:English
Published: Elsevier 2018-09-01
Series:Medical Mycology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753918300630
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spelling doaj-8d48f05f219a454ab64f0c39e2baaa9a2020-11-25T03:21:38ZengElsevierMedical Mycology Case Reports2211-75392018-09-01215762Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature reviewMaria Nina Chitasombat0Porkaew Petchkum1Suthas Horsirimanont2Pattana Sornmayura3Ariya Chindamporn4Theerapong Krajaejun5Division of Infectious Disease, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; Corresponding author.Division of Infectious Disease, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDepartment of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandDepartment of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandMycology Unit, Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDepartment of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandVascular Pythiosis caused by Pythium insiodiosum rarely involves carotid artery. A case of concealed ruptured pseudoaneurysm of the carotid artery with neck abscesses, and cerebral septic emboli is described. Patient presented with large pulsatile neck mass that failed to response to surgery, antifungals and immunotherapeutic vaccine. Residual unresectable disease leads to death in the patient. Pythiosis should be considered as a differential diagnosis of head and neck infection. Keywords: Pythiosis, Pythium insidiosum, Carotid artery, Meningitis, Brainhttp://www.sciencedirect.com/science/article/pii/S2211753918300630
collection DOAJ
language English
format Article
sources DOAJ
author Maria Nina Chitasombat
Porkaew Petchkum
Suthas Horsirimanont
Pattana Sornmayura
Ariya Chindamporn
Theerapong Krajaejun
spellingShingle Maria Nina Chitasombat
Porkaew Petchkum
Suthas Horsirimanont
Pattana Sornmayura
Ariya Chindamporn
Theerapong Krajaejun
Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
Medical Mycology Case Reports
author_facet Maria Nina Chitasombat
Porkaew Petchkum
Suthas Horsirimanont
Pattana Sornmayura
Ariya Chindamporn
Theerapong Krajaejun
author_sort Maria Nina Chitasombat
title Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
title_short Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
title_full Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
title_fullStr Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
title_full_unstemmed Vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: A case report and literature review
title_sort vascular pythiosis of carotid artery with meningitis and cerebral septic emboli: a case report and literature review
publisher Elsevier
series Medical Mycology Case Reports
issn 2211-7539
publishDate 2018-09-01
description Vascular Pythiosis caused by Pythium insiodiosum rarely involves carotid artery. A case of concealed ruptured pseudoaneurysm of the carotid artery with neck abscesses, and cerebral septic emboli is described. Patient presented with large pulsatile neck mass that failed to response to surgery, antifungals and immunotherapeutic vaccine. Residual unresectable disease leads to death in the patient. Pythiosis should be considered as a differential diagnosis of head and neck infection. Keywords: Pythiosis, Pythium insidiosum, Carotid artery, Meningitis, Brain
url http://www.sciencedirect.com/science/article/pii/S2211753918300630
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