Non-shunt Management of Communicating Hydrocephalus in an Immunocompetent Host With Disseminated Central Nervous System Coccidioidomycosis

Sanjay V. Menghani, Chelsea L. Takamatsu, Ramzi Ibrahim, Lupita Molina, Neha Jaswal, Fariba M. Donovan

Research output: Contribution to journalArticlepeer-review

Abstract

Disseminated coccidioidomycosis is associated with significant morbidity and mortality. Involvement of the meninges is often fatal if untreated, typically requiring lifelong antifungal therapy and neurosurgical intervention. We present the case of a young male without any known immunocompromising conditions who opted exclusively for medical management of newly diagnosed coccidioidomycosis meningitis with communicating hydrocephalus and discuss the controversy associated with this approach. This case highlights the importance of shared decision-making between patient and clinician, even if the plan diverges from available guidelines. Furthermore, we discuss clinical considerations in approaching the close outpatient monitoring of patients with central nervous system coccidioidomycosis with hydrocephalus.

Original languageEnglish (US)
JournalJournal of Investigative Medicine High Impact Case Reports
Volume11
DOIs
StatePublished - Jan 1 2023

Keywords

  • Coccidioidomycosis Study Group
  • IDSA
  • coccidioidal meningitis
  • communicating hydrocephalus
  • ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Epidemiology
  • Safety, Risk, Reliability and Quality
  • Safety Research

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