title: Deep solitary brain mass in a four-month-old male with disseminated coccidioidomycosis: case report.
abstract: Parenchymal brain involvement from disseminated coccidioidomycosis occurs rarely and there are few documented pediatric cases. We report a four-month-old male infant with a cerebellar lesion seen in the brain on computed tomography (CT). Coccidioides immitis (C. immitis) grew on bronchoscopic fluid samples and serum titers to C. immitis were 1:1024. Antifungal treatment was initiated and after 3 months, CT scans demonstrated brain mass resolution and serum titers were decreased.
authors.affiliation: Children's Hospital Central California, Madera, California, USA. jwardpnp@hotmail.com
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Nolt
authors.forename: Francesca R
authors.initials: FR
authors.lastname: Geertsma
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001921:Brain / Q000382:microbiology* / Q000473:pathology; D001999:Bronchoscopy; D003045:Coccidioides / Q000378:metabolism; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004487:Edema; D006801:Humans; D007223:Infant; D008297:Male; D016921:Meningitis, Fungal / Q000175:diagnosis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents