Coccidioidomycosis with cerebral and cerebellar granulomas.
We discuss the diagnosis, treatment and prognosis of a Danish male with disseminated coccidioidomycosis. He presented with headaches and slight fever. Examination showed pulmonary, cutaneous and cerebral and cerebellar granulomas, a rare complication. He was treated with intravenously and subsequently orally administered fluconazole. Symptoms and clinical findings regressed during treatment.
Rosendahl
Mikkel
M
Department of Infectious Diseases, Elsinore Hospital, Denmark. mikkel.rosendahl@rh.dk
Kvinesdal
Birgit
B
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001130:Arizona; D020314:Central Nervous System Fungal Infections / Q000188:drug therapy / Q000382:microbiology*; D002526:Cerebellar Diseases / Q000188:drug therapy / Q000382:microbiology; D003045:Coccidioides; D003047:Coccidioidomycosis / Q000150:complications / Q000188:drug therapy*; D003881:Dermatomycoses / Q000188:drug therapy / Q000382:microbiology; D015725:Fluconazole / Q000627:therapeutic use; D005437:Flucytosine / Q000627:therapeutic use; D006099:Granuloma / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D014195:Travel
D000935:Antifungal Agents; D015725:Fluconazole; D005437:Flucytosine