@article{ref1,
title="Fatal mycotic aneurysm caused by Pseudallescheria boydii after near drowning",
journal="International journal of legal medicine",
year="2010",
author="Ortmann, C. and Wüllenweber, J. and Brinkmann, B. and Fracasso, T.",
volume="124",
number="3",
pages="243-247",
abstract="Pseudallescheria boydii is a rare cause of mycotic infection. Factors predisposing to systemic infection include traumas, immunosuppression, and near drowning. We report a case of multiple aneurysms caused by this hyalohyphomycete, occurred after near drowning. The car driven by a 53-year-old woman plunged into a canal in The Netherlands. After a 20-min-long submersion, the woman was rescued. At hospital, a severe aspiration of muddy water and a mycotic pneumonia were diagnosed. Despite the immediate prescription of a long-term antimycotic therapy and the initial good response, the patient died 4 months later. The autopsy showed a mycotic aneurysm of the abdominal aorta and multiple ruptured mycotic aneurysms of the circle of Willis with fatal subarachnoid bleeding.<p /> <p>Language: en</p>",
language="en",
issn="0937-9827",
doi="10.1007/s00414-009-0336-9",
url="http://dx.doi.org/10.1007/s00414-009-0336-9"
}