Disseminated coccidioidomycosis complicated by vasculitis: a cause of fatal subarachnoid hemorrhage in two cases.

@article{Erly1999DisseminatedCC,
  title={Disseminated coccidioidomycosis complicated by vasculitis: a cause of fatal subarachnoid hemorrhage in two cases.},
  author={William K. Erly and Enrique L. Labadie and Penny L Williams and Dong Min Lee and Raymond F. Carmody and Joachim F. Seeger},
  journal={AJNR. American journal of neuroradiology},
  year={1999},
  volume={20 9},
  pages={
          1605-8
        }
}
We describe two cases of disseminated coccidioidomycosis that were complicated by fatal subarachnoid hemorrhage. In the first case, a left middle cerebral artery aneurysm and long-segment vasculitis occurred. In the second case, MR imaging revealed an enlarging coccidioidal granuloma at the tip of the basilar artery, and the artery subsequently ruptured. Fatal intracranial hemorrhage is a rare complication of disseminated coccidioidomycosis. 

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