Rhizopus spp. isolated with minimum inhibitory concentration values as follows:
0.3
Surgical sample:
Fatima's repeat cerebral CT showed enlargement of the mass and complete obliteration of the fourth ventricle. Cerebellitis–encephalitis involving all of the right (and a large portion of the left) cerebellar vermes and the base of the right occipital lobe was also seen
Amphotericin B – 4 g/L
Posaconazole – 16 g/L
Voriconazole – 8 g/L
Caspofungin – >16 g/L
Images supplied with permission of treating clinician.
Results
BAL fluid sample:
Galactomannan ODI:
No fungus was seen or cultured
Rhizopus spp. isolated with minimum inhibitory concentration values as follows:
Amphotericin B – 4 g/L
Posaconazole – 16 g/L
Voriconazole – 8 g/L
Caspofungin – >16 g/L
Fatima's repeat cerebral CT showed enlargement of the mass and complete obliteration of the fourth ventricle. Cerebellitis–encephalitis involving all of the right (and a large portion of the left) cerebellar vermes and the base of the right occipital lobe was also seen
0.3
Surgical sample:
Images supplied with permission of treating clinician.