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

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.

• Authors: Dany Tager, Anne Hatch, Jennifer Segar, Brentin Roller, Mayar Al Mohajer, Tirdad T Zangeneh
• Journal: Medical mycology case reports (Med Mycol Case Rep) Vol. 16 Pg. 8-11 (Jun 2017) ISSN: 2211-7539 [Print] Netherlands
• PMID: 28386527 (Publication Type: Journal Article)