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Description

This case report attempts to illustrate the presentation and successful treatment course of a 77-year-old male found to have brain parenchymal abscess secondary to Cladophialophora bantiana, a diametaceous pigmented mold with intracranial trophism, known to have high mortality. This fungus is more commonly found in Asia and the subtropics, but was believed to be inoculated in the temperate northern USA following a skin tear sustained by contact with a leaf blower.

The patient presented for evaluation of lightheadedness, visual perceptual disturbances with seizure after arrival. MRI demonstrated a rim enhancing 3.0 x 2.6 x 3.0 cm left parieto-occipital lesion with central restricted diffusion concerning for a complex fluid collection. He underwent left occipital craniotomy and resection yielding a gray-mucinous material with cultures positive for cladophialophora bantiana as well as cutibacterium acnes.

Publication Date

5-8-2026

Disciplines

Internal Medicine

Comments

2026 Research Day Corewell Health West, Grand Rapids, MI, May 8, 2026. Abstract 2141

Successful Treatment and Suppression of Uncommon and Highly Morbid, Cladophialophora Bantiana Cerebral Phaeohyphomycosis.

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