Coccidioides parenchymal cerebral abscess in the setting of lymphoma.

Coccidioides parenchymal cerebral abscess in the setting of lymphoma.

Motley Benjamin D; Grabowski Matthew; Prayson Richard A

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

2015

2015-01

Coccidioides immitis is a dimorphic fungus endemic to southwestern United States of America. When symptomatic, infection usually results in a subacute respiratory infection. Disseminated coccidioidomycosis occurs in less than 1% of all cases. We report a patient with follicular lymphoma and recent travel to Arizona, who underwent resection of a cerebral Coccidioides abscess. Serology testing was negative. This case highlights the importance of clinical suspicion in patients with neurologic symptoms and travel to an endemic location.

Aged; Brain Abscess/*etiology/pathology; Coccidioides; Coccidioides/*pathogenicity; Coccidioidomycosis/*complications; Follicular lymphoma; Follicular/*drug therapy; Fungus; Humans; Immunologic Factors/*therapeutic use; Lymphoma; Male; Rituximab/*therapeutic use; United States

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