Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia

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Author
Tager, Dany
Hatch, Anne
Segar, Jennifer
Roller, Brentin
Al Mohajer, Mayar
Zangeneh, Tirdad T.
Affiliation
Univ Arizona, Coll Med
Univ Arizona, Dept Neurol, Banner Univ Med Ctr
Univ Arizona, Dept Med, Banner Univ Med Ctr
Univ Arizona, Dept Med, Banner Univ Med Ctr, Div Infect Dis
Issue Date
2017-06
Keywords
Coccidioidal meningitis
Fungal meningitis
Steroid
Cerebral vasculitis
Disseminated coccidioidomycosis

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Publisher
ELSEVIER SCIENCE BV
Citation
Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia 2017, 16:8 Medical Mycology Case Reports
Journal
Medical Mycology Case Reports
Rights
© 2017 The Authors. Published by Elsevier B.V. on behalf of International Society for Human and Animal Mycology.
Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
Abstract
Central Nervous System (CNS) vasculitis is the most common life-threatening complication of coccidioidal meningitis. It is manifested by cerebral ischemia, hemorrhage, and infarction. We report a case of CNS vasculitis in a patient receiving chemotherapy and review of the literature on coccidioidal meningitis. The patient was treated with combination antifungal therapy and a short course of high dose corticosteroids with a modest improvement in her neurological examination after initiation of steroids.
Note
Open Access Journal.
ISSN
22117539
PubMed ID
28386527
DOI
10.1016/j.mmcr.2017.03.003
Version
Final published version
Additional Links
http://linkinghub.elsevier.com/retrieve/pii/S2211753917300106
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