title: Coccidioidal meningitis: incidental diagnosis 3 y after ventriculo-peritoneal shunt placement for hydrocephalus.
abstract: A patient from the American Midwest developed hydrocephalus after a trip to southwest California, necessitating placement of a ventriculo-peritoneal shunt. Coccidioidal meningitis was diagnosed incidentally 3 y later, during evaluation for shunt malfunction.
authors.affiliation: Department of Medicine-Infectious Diseases, St John Hospital and Medical Center, Detroit, Michigan 48236, USA. leonard.johnson@stjohn.org
authors.forename: Mohammad O
authors.initials: MO
authors.lastname: Almoujahed
authors.forename: Leonard B
authors.initials: LB
authors.lastname: Johnson
authors.forename: Randy
authors.initials: R
authors.lastname: Gehring
authors.forename: Riad
authors.initials: R
authors.lastname: Khatib
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D003045:Coccidioides / Q000302:isolation & purification*; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D006849:Hydrocephalus / Q000382:microbiology* / Q000601:surgery*; D008297:Male; D008581:Meningitis / Q000188:drug therapy / Q000382:microbiology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology*; D013997:Time Factors; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole