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Brain abscess due to the fungi hormodendrum
Abstract
Brain abscess caused by fungal infection is rare, only very few examples having been recorded in the English language literature. Perhaps the most comprehensive review is that of Craig and Gates,l who investigated all cases of brain abscess occurring in the Mayo Clinic during the years 1915-1945. During this 30-year period there were 104 examples of metastatic brain abscess, only 5 of which were caused by fungal infection. Two of these were caused by Actinomyces species, two by Coccidioides immitis and one by Monilia albicans. Apart from this series only i olated cases have. been reported, mainly due to Actinomyces, Blastomyces or Torula species. Eckhardt and Pilcher described a case caused by Nocardia asteroides. Binford et al.a rep.orted the case history of a patient with a metastatic brain abscess caused by the fungus Cladosporium (Hormodendrum) trichoides. King and Collette4 described a seoond example of brain abscess due to this fungus and the former authors demonstrated the identity of the fungus isolated by King and Collette with that which they had isolated. The case history reported here is a further example of a brain abscess due to a fungus of the Hormodendrum group and is, as far as we are aware, only the third case described.