Erly W K, Labadie E, Williams P L, Lee D M, Carmody R F, Seeger J F
Department of Radiology, The University of Arizona, Tucson 85724-5067, USA.
AJNR Am J Neuroradiol. 1999 Oct;20(9):1605-8.
We describe two cases of disseminated coccidioidomycosis that were complicated by fatal subarachnoid hemorrhage. In the first case, a left middle cerebral artery aneurysm and long-segment vasculitis occurred. In the second case, MR imaging revealed an enlarging coccidioidal granuloma at the tip of the basilar artery, and the artery subsequently ruptured. Fatal intracranial hemorrhage is a rare complication of disseminated coccidioidomycosis.
我们描述了两例播散性球孢子菌病并发致命性蛛网膜下腔出血的病例。第一例中,出现了左侧大脑中动脉瘤和长节段血管炎。第二例中,磁共振成像显示基底动脉尖端的球孢子菌性肉芽肿不断增大,随后该动脉破裂。致命性颅内出血是播散性球孢子菌病的一种罕见并发症。