Cerebral Chromoblastomycosis due to Cladosporium Trichoides (Bantianum) - Part I (A Review and Case Report)

Bobra's[3] patient was a 57-year-old Negro suffering from malignant hypertension (blood pressure 230/150), papilledema, loss of vision, and right hemiplegia, who had an unsuspected left parieto-occipital abscess, the size of a golf ball, discovered at necropsy. Urine normal; blood sugar 108 mg. %, blood urea 12 mg. %; blood V.D.R.L. negative; haemoglobin 11.5 grammes; white cell count 10,900. Having thus excluded subarachnoid haemorrhage or meningitis, a left carotid angiogram was performed and this showed a left parietal tumour without pathological vessels. The patient regained consciousness on the night of operation; he was alert but dysphasic; slight neck rigidity and dense upper motor neurone right facial and right arm paralysis were present.