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Free latissimus dorsi flap used in treatment of cerebral aspergillosis: A case report and review of the literature

✍ Scribed by Anuja K. Antony; Roy W. Hong; Manuel Amieva; Michael S. Taekman; Stephen L. Huhn; Yvonne L. Karanas

Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
205 KB
Volume
23
Category
Article
ISSN
0738-1085

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✦ Synopsis

Abstract

Cerebral aspergillosis infection is a rare disease in children that carries extremely high morbidity and mortality. Although occurring most commonly in the immunosuppressed patient, cerebral aspergillosis infection has been reported after trauma or neurosurgical procedures. Amphotericin B is the main medical therapy for cerebral aspergillosis. However, surgical treatment is often required for cases of abscess or granuloma formation. Despite aggressive antifungal treatment and surgical intervention, aspergillosis of the central nervous system is often fatal. We present a case report in which a free latissimus dorsi muscle flap was used in conjunction with antifungal medication and surgical debridement to treat intracranial and epidural aspergillosis in a young male following complex craniofacial trauma. Β© 2003 Wiley‐Liss, Inc. MICROSURGERY 23:313–316 2003

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