Orbital and cranial abscess by Aspergillus fumigatus

Aspergillus infections involving the orbit and the CNS is a rare pathology. We present one case of a 12 years old male who suffered a penetrating injuring with a piece of wood at the level of the lower lid. CT scan reveled a hyperdense area with irregular lesion at the medial position of the orbit and invading the supra-se-lar and parasselar region. The patient was submitted to 3 craniotomies and clinically treated with Anfotericin B and Rocefin (Ceftriaxona). A review of the literature was done.