• Pak J Med Sci · Jul 2024

    Case Reports

    An unusual presentation of fungal brain abscess in immunocompetent host.

    • Sajid Islam Bhatti, Sidra German, Tajammul Waqar, and Rubina Naqvi.
    • Sajid Islam Bhatti Department of Nephrology, Sindh Institute of Urology and Transplantation (SIUT), Karachi. Pakistan.
    • Pak J Med Sci. 2024 Jul 1; 40 (6): 130613091306-1309.

    AbstractFocal area of necrosis, with a surrounding membrane within the brain parenchyma, usually resulting from an infectious process or rarely from a traumatic process known as brain abscess. We report a case of young female, who presented with multiple abscess in left frontal and right occipital region of brain, she was otherwise immunocompetent, lacking any known risk factor for opportunistic infection. And this fungal abscess manifest with unusual presentation of bilateral lower limb weakness along with seizures and fever. This infection leads to acute kidney injury (AKI), necessitating kidney replacement therapy (RRT) in term of intermittent hemodialysis (IHD). After drainage of abscess and antifungal therapy, she responded well, her acute kidney injury resolved and she showed clinical and radiological improvement.Copyright: © Pakistan Journal of Medical Sciences.

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