Coccidioidomycosis meningitis and syndrome of inappropriate antidiuretic hormone.
The syndrome of inappropriate antidiuretic hormone (SIADH) secretion has been well described in patients with meningeal spread from metastatic carcinomatosis and bacterial or mycobacterial infections. We describe a 39-year-old white man who was diagnosed with coccidioidomycosis pneumonia 7 years before presentation. He displayed evidence for meningitis with the onset of SIADH. We reviewed the diagnosis of coccidioidomycosis and radiological findings in the central nervous system. Last, we discussed the findings that led to the diagnosis of SIADH.
Webb
Martin
M
University of Virginia Health System, Charlottesville 22908, USA.
Ziauddin
Amer
A
Okusa
Mark D
MD
D000328:Adult; D003045:Coccidioides; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D016921:Meningitis, Fungal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014667:Vasopressins / Q000378:metabolism*
D014667:Vasopressins