[Importance of images and etiological diagnosis of central nervous system involvement in immunocompromised XXXX ].

@entity1 @entity428 @entity3052 @entity281 @entity1778 @entity364 @entity1398
We report a 16 years old @entity1 with diagnosis of @entity3052 with severe immune suppression secondary to his @entity1778 's treatment. Early during the course of his chemotherapy he developed symptoms and signs compatible with @entity364 ( @entity364 ). Lungs were primarily compromised followed by CNS involvement with manifestations of @entity428 . Laboratory exams were remarkable for prolonged @entity1398 and indirect evidence of @entity281 , with successive detection of positive and increasing levels of galactoman antigen in serum. With this case we want emphasize the great importance of @entity364 in immune suppressed @entity1 and particularly the CNS compromise. This represents a medical emergency which deserves to start a complete and comprehensive microbiology diagnosis and concomitantly start an empiric antifungal treatment. The importance of neuroimaging for a correct identification of the number, location and size of CNS lesions must be highlighted. The election of MRI, if available, should be preferred due to a better performance than CT scan. Brain biopsy should be discussed when all the non invasive attempts for etiology identification have failed. The invasive fungal CNS compromise has medical treatment and the surgical drainage has to be considered for lesions greater than 2 cm or for those making a mass effect or have failed with medical treatment.
