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Case Reports in Radiology
Volume 2013, Article ID 191375, 6 pages
http://dx.doi.org/10.1155/2013/191375
Case Report

Cerebral Phaeohyphomycosis in a Patient with Neurosarcoidosis on Chronic Steroid Therapy Secondary to Recreational Marijuana Usage

1Department of Radiology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza, B23, Camden, NJ 08103, USA
2Department of Pathology, Cooper University Hospital, Cooper Medical School of Rowan University, One Cooper Plaza, B23, Camden, NJ 08103, USA

Received 9 January 2013; Accepted 28 January 2013

Academic Editors: R. Bhargava, C. Chaskis, E. Kapsalaki, A. Komemushi, A. Matsuno, and O. Strohm

Copyright © 2013 Preetam Gongidi 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

Cerebral phaeohyphomycosis is often a fatal disease that typically takes a hematogenous spread after inhalation or accidental skin inoculation of pathogens. We present a patient with a history of heavy marijuana smoking while being on chronic steroid therapy for treatment of neurosarcoidosis who was found to have multiple brain abscesses from Curvularia sp. This is a ubiquitous soil-dwelling dematiaceous fungus that is generally thought to affect solely plants, but there is increasing evidence in the literature of it affecting humans and animals. We review the radiographic findings of neurosarcoidosis and cerebral phaeohyphomycosis as well as the pathophysiology of dematiaceous fungi infections.