Coccidioidal meningitis diagnosed by skin biopsy.
We present a patient with coccidioidal meningitis whose diagnosis was not confirmed until a skin biopsy was performed. Because he lived in an area where coccidioidomycosis is not endemic, his meningitis was at first attributed to tuberculosis or sarcoidosis. After a verrucous lesion from the face was biopsied and the diagnosis substantiated, the patient responded well to consolidation therapy consisting of intrathecal amphotericin B and oral ketoconazole.
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008297:Male; D008581:Meningitis / Q000175:diagnosis* / Q000188:drug therapy
D000666:Amphotericin B