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Case Reports in Infectious Diseases
Volume 2016, Article ID 4693409, 4 pages
http://dx.doi.org/10.1155/2016/4693409
Case Report

Chronic Leptomeningitis and Spinal Intradural Mass Secondary to Alternaria Infection in a Patient with Ventriculoperitoneal Shunt

1Division of Infectious Disease, City of Hope National Medical Center, Duarte, CA, USA
2Washington University School of Medicine, St. Louis, MO, USA
3Division of Neurosurgery, City of Hope National Medical Center, Duarte, CA, USA

Received 12 July 2016; Accepted 3 October 2016

Academic Editor: Larry M. Bush

Copyright © 2016 Sanjeet S. Dadwal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fungal infection following placement of ventriculostomy or ventriculoperitoneal (VP) shunt is uncommon. We report the first case of Alternaria related central nervous system (CNS) shunt infection in a patient with CNS ependymoma manifesting as leptomeningitis and a spinal intradural mass. This case illustrates the diagnostic and management challenges.