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August 1968

Fungus Infection of the Gasserian Ganglion

Author Affiliations

From the departments of medicine (Dr. McKinney), surgery (Dr. Sears), and radiology (Dr. Heinz), Emory University School of Medicine and Emory University Clinic, Atlanta. Dr. Heinz is now at Yale University School of Medicine, New Haven, Conn.

Arch Neurol. 1968;19(2):208-212. doi:10.1001/archneur.1968.00480020094009

FUNGUS infections of the central nervous system (CNS) are somewhat unusual. Fungus infection of the gasserian ganglion, although reported previously, is distinctly rare. The case reported here represents such an instance.

Report of a Case  The patient was a 28-year-old housewife and clerk in a hospital business office. In mid-August 1966 she developed mild discomfort in the right cheek associated with an itching sensation in that area. About two weeks later she noted painless swelling of her right upper gum with the drainage of pus. She saw her dentist who told her that the bone was "eaten away" and recommended an extraction (Fig 1). In preparation for this the patient was treated with penicillin resulting in subsidence of the gum swelling and disappearance of the drainage. Penicillin was discontinued after three days. Over the next three days, however, the discomfort she had originally experienced in her right cheek developed

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