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2026, Vol: 16, Issue: 1
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Case Report


Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report

Sarunya Srijuntonsiri, Chutima Phuaksaman, Krittaporn Phruksarudee, Jiroje Jiranukool, Julintorn Somran, Nuanluck Yupensuk, Veeratape Ngamnusonkit.


Abstract
Background:
Invasive cerebral aspergillosis is a rare but serious condition with a high mortality rate.

Case Description:
We report a case of multiple brain abscesses with ventriculitis caused by Aspergillus fumigatus in an 11-year-old Thai boy who presented with a high-grade fever and progressive headache for 9 days during hospitalization. He was diagnosed with severe acute respiratory distress syndrome and secondary hemophagocytic lymphohistiocytosis. Treatment included veno-arterial-venous extracorporeal membrane oxygenation, broad-spectrum antibiotics, and prolonged corticosteroid therapy. He subsequently developed severe headaches due to increased intracranial pressure and brain edema, which were successfully managed with a combination of antifungal therapy and extensive neurosurgery.

Conclusion:
Early diagnosis and combined antifungal therapy, in combination with neurosurgery, are crucial for improving survival outcomes in invasive cerebral aspergillosis.

Key words: Brain abscess; Aspergillosis; ECMO.


 
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How to Cite this Article
Pubmed Style

Srijuntonsiri S, Phuaksaman C, Phruksarudee K, Jiranukool J, Somran J, Yupensuk N, Ngamnusonkit V. Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. J Microbiol Infect Dis. 2026; 16(1): 37-43. doi:10.5455/JMID.2026.v16.i1.6

Web Style

Srijuntonsiri S, Phuaksaman C, Phruksarudee K, Jiranukool J, Somran J, Yupensuk N, Ngamnusonkit V. Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. https://www.jmidonline.org/?mno=292397 [Access: March 03, 2026]. doi:10.5455/JMID.2026.v16.i1.6

AMA (American Medical Association) Style

Srijuntonsiri S, Phuaksaman C, Phruksarudee K, Jiranukool J, Somran J, Yupensuk N, Ngamnusonkit V. Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. J Microbiol Infect Dis. 2026; 16(1): 37-43. doi:10.5455/JMID.2026.v16.i1.6


Vancouver/ICMJE Style

Srijuntonsiri S, Phuaksaman C, Phruksarudee K, Jiranukool J, Somran J, Yupensuk N, Ngamnusonkit V. Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. J Microbiol Infect Dis. (2026), [cited March 03, 2026]; 16(1): 37-43. doi:10.5455/JMID.2026.v16.i1.6


Harvard Style

Srijuntonsiri, S., Phuaksaman, . C., Phruksarudee, . K., Jiranukool, . J., Somran, . J., Yupensuk, . N. & Ngamnusonkit, . V. (2026) Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. J Microbiol Infect Dis, 16 (1), 37-43. doi:10.5455/JMID.2026.v16.i1.6


Turabian Style

Srijuntonsiri, Sarunya, Chutima Phuaksaman, Krittaporn Phruksarudee, Jiroje Jiranukool, Julintorn Somran, Nuanluck Yupensuk, and Veeratape Ngamnusonkit. 2026. Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. Journal of Microbiology and Infectious Diseases, 16 (1), 37-43. doi:10.5455/JMID.2026.v16.i1.6


Chicago Style

Srijuntonsiri, Sarunya, Chutima Phuaksaman, Krittaporn Phruksarudee, Jiroje Jiranukool, Julintorn Somran, Nuanluck Yupensuk, and Veeratape Ngamnusonkit. "Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report." Journal of Microbiology and Infectious Diseases 16 (2026), 37-43. doi:10.5455/JMID.2026.v16.i1.6


MLA (The Modern Language Association) Style

Srijuntonsiri, Sarunya, Chutima Phuaksaman, Krittaporn Phruksarudee, Jiroje Jiranukool, Julintorn Somran, Nuanluck Yupensuk, and Veeratape Ngamnusonkit. "Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report." Journal of Microbiology and Infectious Diseases 16.1 (2026), 37-43. Print. doi:10.5455/JMID.2026.v16.i1.6


APA (American Psychological Association) Style

Srijuntonsiri, S., Phuaksaman, . C., Phruksarudee, . K., Jiranukool, . J., Somran, . J., Yupensuk, . N. & Ngamnusonkit, . V. (2026) Multiple cerebral abscesses caused by Aspergillus fumigatus following extracorporeal membrane oxygenation in a pediatric patient: A case report. Journal of Microbiology and Infectious Diseases, 16 (1), 37-43. doi:10.5455/JMID.2026.v16.i1.6


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