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Coccidioides parenchymal cerebral abscess in the setting of lymphoma
Benjamin D Motley1, Matthew Grabowski2, Richard A Prayson3
1Northeast Ohio Medial University, Rootstown, OH, USA.
Abstract:
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.
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