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Mycotic aneurysm
  1. Bryan J Neth1,
  2. Salomon Cohen Cohen2,
  3. Jorge Trejo-Lopez1,
  4. Waleed Brinjikji1,
  5. Sherri Ann Braksick3,
  6. Jennifer E Fugate3,
  7. Alejandro A Rabinstein3,
  8. Eelco F M Wijdicks1
  1. 1Mayo Clinic Rochester, Rochester, Minnesota, USA
  2. 2Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA
  3. 3Neurology, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr Eelco F M Wijdicks, Mayo Clinic, Rochester, Minnesota, USA; wijde{at}mayo.edu

Abstract

Angioinvasive fungal infections of the cerebral vasculature often lead to significant morbidity and mortality. High clinical suspicion and early antifungal therapy could improve outcomes. We describe the fatal case of a patient with a rapidly enlarging cavernous carotid aneurysm due to angioinvasive fungus. This case highlights the challenges in diagnosis and management of this condition.

  • CEREBROVASCULAR DISEASE

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Footnotes

  • Contributors All authors contributed equally.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned. Externally peer reviewed by Nick Davies, London, UK.

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