Objective: We aimed to describe a case of fungal cerebellar abscesses due to Aspergillus in an immunocompetent patient.
Methods: This was a case report of a patient who presented at King Abdulaziz University Hospital for management of fungal cerebellar abscess.
Results: A 27-year-old Saudi patient presented with signs of cerebellar dysfunction, reduced visual acuity outcome, and hoarseness following medical therapy and neurosurgery for cerebellar aspergillosis. Brain computed tomography and magnetic resonance imaging scans revealed findings that were suggestive of a recurrent or residual abscess. Treatment was initiated with oral corticosteroids and liposomal amphotericin B. Two weeks later, liposomal amphotericin B was substituted for oral voriconazole. An initially planned surgical excision was deferred following the improvement of the patient's symptoms.
Conclusion: Fungal cerebellar abscesses due to Aspergillus are extremely rare, especially in immunocompetent patients. A high index of suspicion coupled with aggressive neurosurgical intervention and medical treatment can lead to a favorable outcome in patients with cerebellar abscesses due to Aspergillus.