Disseminated Coccidioidomycosis Complicated by Vasculitis: A Cause of Fatal Subarachnoid Hemorrhage in Two Cases

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 t...

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Veröffentlicht in:	American journal of neuroradiology : AJNR 1999-10, Vol.20 (9), p.1605-1608
Hauptverfasser:	Erly, William K, Labadie, Enrique, Williams, Paul L, Lee, Darlene M, Carmody, Raymond F, Seeger, Joachim F
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Aneurysm, Infected - pathology Aneurysm, Ruptured - pathology Basilar Artery - pathology Biological and medical sciences Brain Coccidioidomycosis Coccidioidomycosis - pathology Diagnostic Imaging Fatal Outcome Human mycoses Humans Infectious diseases Intracranial Aneurysm - pathology Male Medical sciences Middle Cerebral Artery - pathology Mycoses Subarachnoid Hemorrhage - pathology Tropical mycoses Vasculitis, Central Nervous System - pathology
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Zusammenfassung:	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.
ISSN:	0195-6108 1936-959X