Cargando…

Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Tager, Dany, Hatch, Anne, Segar, Jennifer, Roller, Brentin, Al Mohajer, Mayar, Zangeneh, Tirdad T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374848/
https://www.ncbi.nlm.nih.gov/pubmed/28386527
http://dx.doi.org/10.1016/j.mmcr.2017.03.003
_version_ 1782518965023539200
author Tager, Dany
Hatch, Anne
Segar, Jennifer
Roller, Brentin
Al Mohajer, Mayar
Zangeneh, Tirdad T.
author_facet Tager, Dany
Hatch, Anne
Segar, Jennifer
Roller, Brentin
Al Mohajer, Mayar
Zangeneh, Tirdad T.
author_sort Tager, Dany
collection PubMed
description 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.
format Online
Article
Text
id pubmed-5374848
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-53748482017-04-06 Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia Tager, Dany Hatch, Anne Segar, Jennifer Roller, Brentin Al Mohajer, Mayar Zangeneh, Tirdad T. Med Mycol Case Rep Case Report 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. Elsevier 2017-03-23 /pmc/articles/PMC5374848/ /pubmed/28386527 http://dx.doi.org/10.1016/j.mmcr.2017.03.003 Text en © 2017 The Authors. Published by Elsevier B.V. on behalf of International Society for Human and Animal Mycology. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tager, Dany
Hatch, Anne
Segar, Jennifer
Roller, Brentin
Al Mohajer, Mayar
Zangeneh, Tirdad T.
Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title_full Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title_fullStr Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title_full_unstemmed Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title_short Coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
title_sort coccidioidal meningitis complicated by central nervous system vasculitis in a patient with leukemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374848/
https://www.ncbi.nlm.nih.gov/pubmed/28386527
http://dx.doi.org/10.1016/j.mmcr.2017.03.003
work_keys_str_mv AT tagerdany coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia
AT hatchanne coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia
AT segarjennifer coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia
AT rollerbrentin coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia
AT almohajermayar coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia
AT zangenehtirdadt coccidioidalmeningitiscomplicatedbycentralnervoussystemvasculitisinapatientwithleukemia