Sakya Surav M, Sakya Judy P, Hallan David R, Warraich Irfan
Medicine, Penn State College of Medicine, Hershey, USA.
Medicine, Texas Tech University Health Sciences Center, Lubbock, USA.
Cureus. 2020 Jul 20;12(7):e9304. doi: 10.7759/cureus.9304.
Spinal coccidioidomycosis is a rare disseminated form of coccidioidomycosis infection. According to the literature, majority of patients are African American males. We present a rare case of spinal coccidioidomycosis in a young, Caucasian female with coccidioidomycosis meningitis at age 16 years who presented with bilateral lower extremity weakness after antifungal medication lapse for one year. Imaging revealed cystic arachnoid formations along her thoracic spine. Pathology report confirmed spinal arachnoiditis with coccidioidomycosis. This case report details a rare incidence of spinal coccidioidomycosis and reviews previous literature.
脊柱球孢子菌病是一种罕见的播散型球孢子菌病感染。根据文献记载，大多数患者为非裔美国男性。我们报告一例罕见的脊柱球孢子菌病病例，患者为一名年轻的白种女性，16岁时患球孢子菌性脑膜炎，在抗真菌药物停用一年后出现双侧下肢无力。影像学检查显示其胸椎有囊性蛛网膜形成。病理报告证实为伴有球孢子菌病的脊柱蛛网膜炎。本病例报告详细描述了脊柱球孢子菌病的罕见发病情况，并回顾了既往文献。
