ISOLATED CEREBRAL ASPERGILLOMA - LONG-TERM SURVIVAL OF A RENAL-TRANSPLANT RECIPIENT

A renal transplant recipient with isolated cerebral aspergilloma 4 mon ths after allograft transplantation is reported. On admission cerebral computed tomography showed a ring-enhancing mass in the left frontal hemisphere and aspirated purulent material revealed A. fumigatus hypha e. He was cured by short-term antifungal therapy and neurosurgical rem oval of the well demarcated lesion. He is still alive more than two ye ars later and the renal transplant is well functioning. This is the fi rst report of a renal transplant recipient with isolated cerebral aspe rgillosis without any relapse and only the third patient who has survi ved longer than 3 months. Early diagnostic procedures with rapid confi rmation of aspergillus infection are pivotal for a benign clinical cou rse.