Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies
Objective: Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies is rare and can pose a challenge in ensuring the health of both mother and baby. In this unique case we highlight this rare occurrence and subsequent treatment. Case report: A 29-year-old G4P1021 with a history o...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924000391 |
| _version_ | 1797262915144777728 |
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| author | Jonathan E. Blohm Lee R. McMahon Chaur-Dong Hsu |
| author_facet | Jonathan E. Blohm Lee R. McMahon Chaur-Dong Hsu |
| author_sort | Jonathan E. Blohm |
| collection | DOAJ |
| description | Objective: Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies is rare and can pose a challenge in ensuring the health of both mother and baby. In this unique case we highlight this rare occurrence and subsequent treatment. Case report: A 29-year-old G4P1021 with a history of disseminated coccidioidomycosis in a previous pregnancy presented at 8 weeks gestation with nausea, headache, and neck pain. Cerebrospinal fluid analysis was positive for recurrent coccidioidal infection. She was started on Amphotericin and discharged. She re-presented at 30 week's gestation with phonophobia and photophobia, emesis, neck pain and swelling. MRI showed evidence of ventriculomegaly with communicating hydrocephalus. She was treated with therapeutic lumbar punctures throughout her pregnancy and a ventriculoperitoneal shunt following delivery. She had a spontaneous vaginal delivery at 38 weeks and 3 days with no complications. Conclusion: This unique case highlights the susceptibility of recurrent disseminated coccidioidomycosis in subsequent pregnancies and treatment thereof. |
| first_indexed | 2024-04-25T00:04:41Z |
| format | Article |
| id | doaj.art-451429e5f29447f1b6a55f468c29c9c4 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-25T00:04:41Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-451429e5f29447f1b6a55f468c29c9c42024-03-14T06:13:59ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592024-03-01632242244Recurrent disseminated coccidioidal meningitis in two subsequent pregnanciesJonathan E. Blohm0Lee R. McMahon1Chaur-Dong Hsu2University of Arizona College of Medicine-Tucson, University of Arizona, Banner-University Medical Center, Tucson, AZ, United StatesUniversity of Arizona College of Medicine-Tucson, University of Arizona, Banner-University Medical Center, Tucson, AZ, United StatesUniversity of Arizona College of Medicine-Tucson, University of Arizona, Banner-University Medical Center, Tucson, AZ, United States; Department of Obstetrics and Gynecology, University of Arizona, Banner-University Medical Center, Tucson, AZ, United States; Corresponding author. 1501 N Campbell Avenue, Room 8327F, Tucson, AZ 32207, United States.Objective: Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies is rare and can pose a challenge in ensuring the health of both mother and baby. In this unique case we highlight this rare occurrence and subsequent treatment. Case report: A 29-year-old G4P1021 with a history of disseminated coccidioidomycosis in a previous pregnancy presented at 8 weeks gestation with nausea, headache, and neck pain. Cerebrospinal fluid analysis was positive for recurrent coccidioidal infection. She was started on Amphotericin and discharged. She re-presented at 30 week's gestation with phonophobia and photophobia, emesis, neck pain and swelling. MRI showed evidence of ventriculomegaly with communicating hydrocephalus. She was treated with therapeutic lumbar punctures throughout her pregnancy and a ventriculoperitoneal shunt following delivery. She had a spontaneous vaginal delivery at 38 weeks and 3 days with no complications. Conclusion: This unique case highlights the susceptibility of recurrent disseminated coccidioidomycosis in subsequent pregnancies and treatment thereof.http://www.sciencedirect.com/science/article/pii/S1028455924000391CoccidiomycosisMeningitisPregnancyRecurrent |
| spellingShingle | Jonathan E. Blohm Lee R. McMahon Chaur-Dong Hsu Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies Taiwanese Journal of Obstetrics & Gynecology Coccidiomycosis Meningitis Pregnancy Recurrent |
| title | Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| title_full | Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| title_fullStr | Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| title_full_unstemmed | Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| title_short | Recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| title_sort | recurrent disseminated coccidioidal meningitis in two subsequent pregnancies |
| topic | Coccidiomycosis Meningitis Pregnancy Recurrent |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924000391 |
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