BACKGROUND: Opportunistic fungi are dispersed as airborne, ground and decaying matter. The second most frequent @entity358 by @entity54 is in the central nervous system. CASE PRESENTATION: The case subject was 55  years old, male, mulatto, and an assistant surveyor residing in Teresina, Piau  . He presented with @entity10 , @entity410 , @entity911 , @entity221 and @entity1269 upon hospitalization in 2006 at Hospital S  o Marcos. Five years previously, he was diagnosed with @entity6 , and 17  months previously he had acne margined by hyperpigmented areas and was diagnosed with @entity1201 . Laboratory tests indicated @entity491 and magnetic resonance imaging showed an @entity1188 in the right cerebral hemisphere. Cerebrospinal fluid examination showed 120 cells/mm3 and was @entity167 -resistant bacilli negative. Trans-sphenoidal surgery with biopsy showed @entity32 was caused by infection with @entity54 . We initiated use of parenteral @entity2379 , but his condition worsened. He underwent another surgery to implant a reservoir of Ommaya-Hickmann, a subcutaneous catheter. We started liposomal @entity2379 5  mg/kg in the reservoir on alternate days. He was discharged with a prescription of @entity2049 and @entity2380 . CONCLUSION: This report has scientific interest because of the occurrence of angioinvasive @entity1779 in a @entity6 @entity1 , which is rarely reported. In conclusion, we suggest a definitive diagnosis of @entity1779 should not postpone quick effective treatment.

@entity1779 in a @entity1 with XXXX and @entity6 : a case report.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity410 :: ('MESH:D012640', 'Disease') :: ['seizures'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes mellitus'] @entity2379 :: ('MESH:D000666', 'Chemical') :: ['amphotericin B'] @entity1269 :: ('MESH:D010291', 'Disease') :: ['left hemiparesis'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity2380 :: ('MESH:D015725', 'Chemical') :: ['fluconazole'] @entity2049 :: ('MESH:D002220', 'Chemical') :: ['tegretol'] @entity54 :: ('746128', 'Species') :: ['Aspergillus fumigatus', 'Aspergillus'] @entity358 :: ('MESH:D008171', 'Disease') :: ['extra-pulmonary disease'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarction'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['cerebral aspergillosis'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity491 :: ('MESH:D007964', 'Disease') :: ['leukocytosis'] @entity1201 :: ('MESH:D007918', 'Disease') :: ['leprosy']
@entity1201 :: (MESH:D007918,Disease) :: ['leprosy']
