Multiple infarcts in a patient with cerebral phaeohyphomycosis: CT and MRI

Phaeohyphomycosis is an uncommon disorder caused by a variety of saprophyti c fungi having distinctive morphologic features. Central nervous system inf ection typically occurs in the absence of predisposing factors and usually manifest symptoms and signs of abscess formation. We describe an otherwise healthy young man whose presentation with cerebral phaeohyphomycosis was su bacute meningitis and stroke. Neuroimaging studies revealed multiple parenc hymal lesions having the characteristics of recent infarcts; several vascul ar territories were involved. The nature of these lesions was confirmed his tologically at autopsy. To our knowledge, such radiologic appearances have not previously been reported in this condition.