Central nervous system aspergillosis in Saint Petersburg, Russia

N.V. Vasilyeva*, Y.V. Borzova, E.A. Desyatik, S.N. Khostelidi, R.M. Chernopjatova, T.S. Bogomolova, S.M. Ignatyeva, R.A. Araviyskiy, I.S. Zjuzgin, A.S. Kolbin, M.O. Popova, A.G. Volkova, N.V. Vavilov, S.N. Bondarenko, N.N. Klimko

Author address: 

(Saint Petersburg, RU)

Abstract: 

Objectives: To define demographic parameters, underlying diseases, aetiology, clinical features and survival rate in patients with central nervous system (CNS) aspergillosis in Saint Petersburg, Russia. Methods: Retrospective analysis. The diagnosis was established on the basis of EORTC/MSG 2008 criteria. Cases of proven or probable invasisve aspergillosis (IA) were included. Results: In 19982010 year. Two hundred and ninety-five cases of IA were registered in 19 hospitals in Saint Petersburg. CNS aspergillosis was revealed in 11 (3.7%) patients, three men and eight women, 467 years old (median 30.5), seven adults and four children. Primary host conditions were hematological disorders (55%) (including acute leukemia 36%), non-hematological malignancy (9%), viral meningitis (9%), infectious hepatitis (9%). Major risk factors were prolonged neutropenia (72%), lymphocytopenia (72%), cytostatic chemotherapy (64%), corticosteroid therapy (45%), stem-cell transplantation (9%), bacteremia (18%). Extra-CNS sites of infection were revealed in 82% of patients and included: lungs (55%), myocardium (9%), more than two organs (18%). The most common symptoms were: fever, headache, mental status alterations, drowsiness, dysarthria, hemiparesis ans seizures. Galactomannan test in serum and cerebrospinal fluid was positive in 72% of patients, positive histology in 36%, Aspergillus fumigatus was isolated from cerebral abscess in 9% of patients.
2012

abstract No: 

P800

Full conference title: 

22nd European Congress of Clinical Microbiology and Infectious Diseases
    • ECCMID 22nd (2012)