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NEUROLOGY 1992;42:1817
© 1992 American Academy of Neurology

Treatment of cerebral aspergillosis after liver transplantation

J. M. Polo, MD, E. Fábrega, MD, F. Casafont, MD, M. C. Fariñas, MD, R. Salesa, MD, A. Vázquez and J. Berciano, MD

Services of Neurology, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain (Drs. Polo and Berciano)
Hepato- Gastroenterology, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain (Drs. Fábrega and Casafont)
Infectious Diseases, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain (Dr. Fariñas)
Microbiology, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain (Dr. Salesa)
Neurosurgery, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain (Dr. Vázquez).

We report the treatment of cerebral aspergillosis with amphotericin B, flucytosine, surgery, and liposomal amphotericin B (L-AmB) after a liver transplant. The patient died 2 months after cessation of antifungal therapy, as a consequence of multiple-system organ failure. The only relevant postmortem finding in the brain was a small, encapsulated abscess containing hyphae. This case indicates that L-AmB is an effective alternative drug for cerebral aspergillosis.

Address correspondence and reprint requests to Dr. José M. Polo, Servicio de Neurología, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.

Received December 3, 1991. Accepted for publication in final form February 6, 1992.




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