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Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia.
Med Mycol Case Rep
; 16: 8-11, 2017 Jun.
Article
in English
| MEDLINE
| ID: mdl-28386527
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.