title: Delayed lower urinary tract symptoms and erectile dysfunction after acute episode of coccidioidal meningitis.
abstract: We present an interesting case of a 27-year-old male with coccidioidal meningitis who developed permanent erectile dysfunction (ED) and lower urinary tract symptoms 3 months after initiation of therapy. The patient presented to the urology clinic with a complaint of a weak stream, urinary urgency and frequency, as well as enuresis which were only moderately controlled with anti-cholinergics. His ED responded well to phosphodiesterase-5 inhibitors. After an extensive review of the literature, this is the first report of delayed presentation of ED and lower urinary tract symptoms secondary to coccidioidal meningitis.
authors.affiliation: Naval Medical Center, Department of Urology, San Diego, Calif., USA.
authors.forename: James H
authors.initials: JH
authors.lastname: Masterson
authors.affiliation: Infectious Diseases, Naval Medical Center, San Diego, Calif., USA.
authors.forename: Mary F
authors.initials: MF
authors.lastname: Bavaro
authors.affiliation: Naval Medical Center, Department of Urology, San Diego, Calif., USA.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Cole
keywords: Coccidioidal meningitis; Erectile dysfunction; Urinary frequency; Urinary urgency; Weak stream