title: Coccidioidomycosis involving the cranium: a case report and review of current literature.
abstract: We report a case of Coccidioidomycosis of the cranium that presented as a cystlike structure with adjoining bone destruction in a 40-year-old patient with underlying rheumatoid arthritis that was treated with a combination of lipid amphotericin B and longterm fluconazole. We also discuss the common risk factors and presentations of this unusual extra-pulmonary form of Coccidioidomycosis.
authors.affiliation: Department of Internal Medicine, Division of Infectious Diseases, Texas Tech University Health Science Center, Paul L. Foster School of Medicine, El Paso, 1205 N. Oregon, El Paso, Texas 79902, USA. suresh.antony@att.net.
authors.forename: Suresh J
authors.initials: SJ
authors.lastname: Antony
authors.forename: Monisha S
authors.initials: MS
authors.lastname: Parikh
authors.forename: Glen
authors.initials: G
authors.lastname: Friedman
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000188:drug therapy; D003045:Coccidioides / Q000302:isolation & purification / Q000648:ultrastructure; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D004359:Drug Therapy, Combination; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography; D012307:Risk Factors; D012886:Skull / Q000000981:diagnostic imaging / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B; D015725:Fluconazole