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Mistaken for migraine: Coccidioidal meningitis

Anna Morgan, Stephen James Hoyt, Jamie Park, Vic Holmes

JAAPA, 2024

Abstract

ABSTRACT: The incidence of coccidioidomycosis has been rising in the past decade. This case report focuses on a man with a history of persistent migraine who presented to the ED with altered mental status. After cerebrospinal fluid testing, the patient was diagnosed with coccidioidal meningitis and treated with lifelong antifungal therapy. Clinician awareness and early identification of this disease can lead to reduced patient morbidity and mortality.

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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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