Abstract
Coccidioidal meningitis is a highly lethal condition with a high morbidity and relapse rate caused by Coccidioides immitis. This case report highlights the difficulty in diagnosing and treating coccidioidal meningitis, and discusses a novel combination antifungal therapy (voriconazole and liposomal amphotericin B), which was used to treat this patient.
MeSH terms
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Adult
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Amphotericin B / therapeutic use*
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Antifungal Agents / therapeutic use*
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Coccidioides / drug effects
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Coccidioides / isolation & purification
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Coccidioidomycosis / diagnosis
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Coccidioidomycosis / drug therapy*
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Diagnosis, Differential
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Drug Therapy, Combination
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Humans
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Male
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Meningitis, Fungal / diagnosis
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Meningitis, Fungal / drug therapy*
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Pyrimidines / therapeutic use*
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Triazoles / therapeutic use*
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Voriconazole
Substances
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Antifungal Agents
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Pyrimidines
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Triazoles
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Amphotericin B
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Voriconazole