Mycotic Aneurysms as Lethal Complication of Brain Pseudallescheriasis in a Near-Drowned Child: A CT Demonstration

and generally lethal. We report a case of a near-drowned child with brain abscesses due to Pseudallescheria boydii, a saprophytic fungus, who died after subarachnoid hemor-rhage occurred. CT showed contrast-enhancing lesions in-dicative of aneurysms of basilar and right posterior cere-bral arteries that could not be appreciated 2 days before. P. boydii is often resistant to commonly used antimycotic drugs. Because CNS infection is frequently associated with near-drowning, early diagnosis and specific therapy are strongly recommended for these patients. Pseudallescheria boydii (previously named Petriel-lidium boydii) and its asexual form, Scedosporium ap-iospermum, are ubiquitous saprophytic fungi that cause chronic subcutaneous infection (ie, true fungal mycetoma, “maduromycosis”) and, less frequently