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2013, Number 3

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Rev Med MD 2013; 4.5 (3)

Diagnosis of coccidioidal meningitis with meningeal biopsy using flexible endoscopy, neuroimaging prognostic and therapeutic used

Pérez-González LF, Rodriguez-DellaVecchia R, Faz-González D, Anaya-Delgadillo G, Hernández-Contreras KA
Full text How to cite this article

Language: Spanish
References: 6
Page: 204-208
PDF size: 613.74 Kb.


Key words:

Coccidiomycosis, meningitis, neuroimaging, meningeal biopsy.

ABSTRACT

The coccidiomycosis that spread beyond the lungs is relatively rare and when produce meningitis increases the probability of death in these patients, that is why reach quickly the diagnosis and make a good therapy is essential and crucial in this etiology. We report a case of a female infant that was admitted with neurological signs of meningitis where the clinical signs and neuroimaging led to make a coccidioidal meningitis diagnosis, and the definitive diagnosis was with a flexible endoscopy and meningeal biopsy


REFERENCES

  1. 1.Mandell, Douglas, Bennett's. Principles and practice of infectious diseases. Philadelphia, PA: Churchill Livingstone Elsevier, 2010; 1237–41.

  2. 2.Suresh JA, Jurczyk P, Brumble L. Successful Use of Combination Antifungal Therapy in the Treatment of Coccidioides Meningitis. J Natl Med Assoc. 2006 Jun;98(6):940-2.

  3. 3.Schein R, Homans J, Larsen RA, Neely M. Posaconazole for chronic refractory coccidioidal meningitis. Clin Infect Dis. 2011 Dec;53(12):1252-4.

  4. 4.Laniado-Laborín R. Coccidioidomycosis and other endemic mycoses in Mexico, Rev Iberoam Micol. 2007; 24:249-258.

  5. 5.Arsura EL, Johnson R, Penrose J, Stewart K, Kilgore W, Reddy CM, Bobba RK. Neuroimaging as a guide to predict outcomes for patients with coccidioidal meningitis. Clin Infect Dis. 2005 Feb 15;40(4):624-7.

  6. 6.Cortez KJ, Walsh TJ, Bennett JE. Successful treatment of coccidioidal meningitis with voriconazole. Clin Infect Dis. 2003 Jun 15;36(12):1619- 22.




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Rev Med MD. 2013;4.5