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Delayed lower urinary tract symptoms and erectile dysfunction after acute episode of coccidioidal meningitis
James H Masterson1, Mary F Bavaro2, Emily E Cole1
1Naval Medical Center, Department of Urology, San Diego, Calif., USA.
Abstract:
We present an interesting case of a 27-year-old male with coccidioidal meningitis who developed permanent erectile dysfunction (ED) and lower urinary tract symptoms 3 months after initiation of therapy. The patient presented to the urology clinic with a complaint of a weak stream, urinary urgency and frequency, as well as enuresis which were only moderately controlled with anti-cholinergics. His ED responded well to phosphodiesterase-5 inhibitors. After an extensive review of the literature, this is the first report of delayed presentation of ED and lower urinary tract symptoms secondary to coccidioidal meningitis.
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