de Carvalho C A, Allen J N, Zafranis A, Yates A J
Hum Pathol. 1980 May;11(3):293-6. doi: 10.1016/s0046-8177(80)80013-x.
A case of coccidioidal meningitis with cerebral arteritis in a nonendemic area is reported. Interesting clinical features were the difficulties in clinical diagnosis, hydrocephalus, and neurological deficits. An autopsy revealed chronic basal meningitis, cerebral arteritis, cerebral infarcts, hydrocephalus, and an old solitary pulmonary granuloma all due to Coccidioides immitis. The rare occurrence of cerebral arteritis due to C. immitis and clinicopathological correlations are discussed.
报告了一例非流行地区的球孢子菌性脑膜炎合并脑动脉炎病例。有趣的临床特征包括临床诊断困难、脑积水和神经功能缺损。尸检显示慢性基底脑膜炎、脑动脉炎、脑梗死、脑积水以及一个由粗球孢子菌引起的陈旧性孤立性肺肉芽肿。讨论了由粗球孢子菌引起的脑动脉炎的罕见发生情况及其临床病理相关性。
