Case Reports1 March 1951COCCIDIOIDAL MENINGITIS OF LONG DURATION: REPORT OF A CASE OF FOUR YEARS AND EIGHT MONTHS' DURATION, WITH NECROPSY FINDINGSEDGAR ROSEN, M.D., JOSEPH P. BELBER, M.D.EDGAR ROSEN, M.D.Search for more papers by this author, JOSEPH P. BELBER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-3-796 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough a sufficient number of cases of coccidioidal meningitis has now been published in the medical literature to merit consideration of this disease in all patients with obscure meningitides, the diagnosis can be readily overlooked unless it is kept in mind. The patient reported in this paper was not correctly diagnosed until his final hospital admission and his fifth year of illness, although he had been studied extensively in four other hospitals at various times since the start of his illness. Our main purposes in reporting this patient are to review the problems in diagnosis which he presented, and to...Bibliography1. AbbottCutler KHOI: Chronic coccidioidal meningitis, Arch. Path. 21: 320-330, 1936. Google Scholar2. Dickson EC: Coccidioides infection, Part I, Arch. Int. Med. 59: 1029-1044, 1937. CrossrefGoogle Scholar3. Dickson EC: Valley fever, California and West Med. 47: 151-155, 1937. MedlineGoogle Scholar4. DicksonGifford ECMA: Coccidioides infection (coccidioidomycosis), II, Arch. Int. Med. 62: 853-871, 1938. CrossrefGoogle Scholar5. Emmons CW: Isolation of coccidioides from soil and rodents, Pub. Health Rep. 57: 109-111, 1942. CrossrefMedlineGoogle Scholar6. EmmonsAshburn CWLL: The isolation of Haplosporangium parvum N. 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To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Oakland, California*Received for publication March 8, 1949.From the Medical Service of the Veterans Administration Hospital, Oakland, California.Published with permission of the Medical Director, Veterans Administration, who assumes no responsibility for the opinions expressed or conclusions drawn by the authors. 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