title: Disseminated coccidioidomycosis complicated by vasculitis: a cause of fatal subarachnoid hemorrhage in two cases.
abstract: We describe two cases of disseminated coccidioidomycosis that were complicated by fatal subarachnoid hemorrhage. In the first case, a left middle cerebral artery aneurysm and long-segment vasculitis occurred. In the second case, MR imaging revealed an enlarging coccidioidal granuloma at the tip of the basilar artery, and the artery subsequently ruptured. Fatal intracranial hemorrhage is a rare complication of disseminated coccidioidomycosis.
authors.affiliation: Department of Radiology, The University of Arizona, Tucson 85724-5067, USA.
authors.forename: W K
authors.initials: WK
authors.lastname: Erly
authors.forename: E
authors.initials: E
authors.lastname: Labadie
authors.forename: P L
authors.initials: PL
authors.lastname: Williams
authors.forename: D M
authors.initials: DM
authors.lastname: Lee
authors.forename: R F
authors.initials: RF
authors.lastname: Carmody
authors.forename: J F
authors.initials: JF
authors.lastname: Seeger
mesh_terms: D000328:Adult; D000368:Aged; D000785:Aneurysm, Infected / Q000473:pathology*; D017542:Aneurysm, Ruptured / Q000473:pathology*; D001488:Basilar Artery / Q000473:pathology; D003047:Coccidioidomycosis / Q000473:pathology*; D003952:Diagnostic Imaging; D017809:Fatal Outcome; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology*; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology; D013345:Subarachnoid Hemorrhage / Q000473:pathology*; D020293:Vasculitis, Central Nervous System / Q000473:pathology*