Disseminated coccidioidomycosis complicated by vasculitis: a cause of fatal subarachnoid hemorrhage in two cases.
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.
Erly
W K
WK
Department of Radiology, The University of Arizona, Tucson 85724-5067, USA.
Labadie
E
E
Williams
P L
PL
Lee
D M
DM
Carmody
R F
RF
Seeger
J F
JF
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*