Juxtapapillary choroiditis associated with chronic meningitis due to Coccidioides immitis.
A 73-year-old man had chronic meningitis of uncertain origin. Ophthalmologic examination revealed juxtapapillary choroiditis with an associated localized serous retinal detachment. Subsequent laboratory evaluation demonstrated absent serum complement-fixing antibody titers to Coccidioides immitis, but serological examination of the CSF demonstrated an antibody titer of 1:2. The final diagnostic impression was that of chronic meningitis in association with juxtapapillary choroiditis due to C immitis.
D000368:Aged; D002833:Choroiditis / Q000209:etiology* / Q000473:pathology; D002908:Chronic Disease; D003047:Coccidioidomycosis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008581:Meningitis / Q000209:etiology*