Myelitis due to Coccidioidomycosis in an Immunocompetent Patient
Joint Authors
Liu, Antonio K.
Vaysman, Tetyana
Villaflores, Sean
Estrella, Carlyn
Radhakrishna, Suman
Source
Case Reports in Infectious Diseases
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Myelitis of the spinal cord is an uncommon presentation of disseminated coccidioidomycosis.
Most infected patients present subclinically, but patients, especially those who are immunocompromised, may progress to disseminated disease.
We present a 50-year-old immunocompetent patient with no significant past medical history exhibiting symptoms of altered mental status, dizziness, headache, nausea, and quadriplegia.
Upon investigation with lumbar puncture, cerebrospinal fluid (CSF) culture, and coccidioidal antibody studies, the patient was found to have acute coccidioidomycosis.
Magnetic resonance imaging (MRI) of the brain demonstrated meningeal enhancements suggestive of meningitis, and further MRI study of the cervical spine revealed myelitis.
Treatment with IV fluconazole for 2 weeks and IV voriconazole therapy over 3 weeks yielded limited improvement.
The presentation of myelitis due to coccidioidomycosis infection is very rare and has infrequently reported in the literature.
Awareness of this potentially fatal complication in immunocompetent patients can aid in faster recognition and treatment.
American Psychological Association (APA)
Vaysman, Tetyana& Villaflores, Sean& Estrella, Carlyn& Radhakrishna, Suman& Liu, Antonio K.. 2018. Myelitis due to Coccidioidomycosis in an Immunocompetent Patient. Case Reports in Infectious Diseases،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144410
Modern Language Association (MLA)
Vaysman, Tetyana…[et al.]. Myelitis due to Coccidioidomycosis in an Immunocompetent Patient. Case Reports in Infectious Diseases No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1144410
American Medical Association (AMA)
Vaysman, Tetyana& Villaflores, Sean& Estrella, Carlyn& Radhakrishna, Suman& Liu, Antonio K.. Myelitis due to Coccidioidomycosis in an Immunocompetent Patient. Case Reports in Infectious Diseases. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1144410
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144410