Coccidiomycosis

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  • Coccidioides immitis
    • From the soil
  • The CNS is involved in 63% of cases with meningitis or cerebritis with granulomas.
  • Large sporangia filled with endospores.
  • Presentation
    • As meningitis,
    • Parenchymal lesions
      • Rare
  • Treatment intrathecal amphotericin B
  • Mortality is 50%