Cerebral chromoblastomicosis--a rare case report of cerebral abscess and brief review of literature--a case report

Vyas MC, Joshi YR, Bhargava N, Joshi KR, Tanwar RK.

Department of Pathology, Dr. Sampurnanand Medical College & Associated Group of Hospitals, Jodhpur-342 003 Rajasthan.

A rare case of Cerebral Chromomycosis caused by chromogenic fungus Cladosporium trichoides in a 35 year old male with classical presentation of cerebral abscess is being presented. The case report lays emphasis on the histological diagnosis of chromogenic fungus in the wall of the abscess cavity, surgically removed from a well delineated circumscribed lesion in the frontal lobe of the cerebrum. The causative fungus could be detected even in unstained paraffin sections. The diagnosis could be made only after surgical removal and histopathological examination. The mycological culture could not be made as the material was received in formaldehyde fixative. The unique features of the case is its recurrence free uneventful survival five years after surgical excision. This is probably the fifth reported case of cerebral chromomycosis from India and first of its type from arid zone of Rajasthan.