Don't drink in the valley

被引：4
|
作者：
Garoon, Robert B. [1 ]
Foroozan, Rod [1 ]
Vaphiades, Michael S. [2 ]
机构：
[1] Baylor Coll Med, 1977 Butler Blvd, Houston, TX 77030 USA
[2] UAB Dept Ophthalmol, Birmingham, AL USA
来源：
SURVEY OF OPHTHALMOLOGY | 2017年 / 62卷 / 03期
关键词：
coccidioidal meningitis; disk edema; chronic headache; fluconazole; peripapillary exudates; COCCIDIOIDAL MENINGITIS; DIAGNOSIS;
D O I：
10.1016/j.survophthal.2016.04.002
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
A 39-year-old man presented with chronic headaches and intermittent blurred vision with previous neuroimaging and blood work that was reportedly normal. He had papilledema and further questioning elicited a history of extensive alcohol use, unexplained weight loss, and night sweats. Magnetic resonance imaging of the brain demonstrated communicating hydrocephalus and leptomeningeal enhancement. The patient underwent ventriculoperitoneal shunt placement and leptomeningeal biopsy, which was initially unrevealing. Cerebrospinal fluid eventually yielded positive titers for coccidioides, a diagnosis that was confirmed by biopsy culture results. (C) 2016 Elsevier Inc. All rights reserved.
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页码：383 / 386
页数：4
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