title: Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia.
abstract: Central Nervous System (CNS) vasculitis is the most common life-threatening complication of coccidioidal meningitis. It is manifested by cerebral ischemia, hemorrhage, and infarction. We report a case of CNS vasculitis in a patient receiving chemotherapy and review of the literature on coccidioidal meningitis. The patient was treated with combination antifungal therapy and a short course of high dose corticosteroids with a modest improvement in her neurological examination after initiation of steroids.
authors.affiliation: University of Arizona, College of Medicine, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Dany
authors.initials: D
authors.lastname: Tager
authors.affiliation: Department of Neurology, Banner University Medical Center, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Hatch
authors.affiliation: Department of Medicine, Banner University Medical Center, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Segar
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Banner University Medical Center, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Brentin
authors.initials: B
authors.lastname: Roller
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Banner University Medical Center, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Mayar
authors.initials: M
authors.lastname: Al Mohajer
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Banner University Medical Center, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA.
authors.forename: Tirdad T
authors.initials: TT
authors.lastname: Zangeneh
keywords: Cerebral vasculitis; Coccidioidal meningitis; Disseminated coccidioidomycosis; Fungal meningitis; Steroid