Journal Article

Hyphal Forms in the Central Nervous System of Patients with Coccidioidomycosis

Heidi M. Hagman, Ellen G. Madnick, Anthony N. D'Agostino, Paul L. Williams, Stanley Shatsky, Laurence F. Mirels, Richard M. Tucker, Michael G. Rinaldi, David A. Stevens and Richard E. Bryant

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 30, issue 2, pages 349-355
Published in print February 2000 | ISSN: 1058-4838
Published online February 2000 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/313643
Hyphal Forms in the Central Nervous System of Patients with Coccidioidomycosis

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Coccidioides immitis is a dimorphic fungus that grows as a filamentous mold in soil and as a spherule at human body temperature. The hyphal or soil form is found rarely in human tissue. We report 5 cases of coccidioidomycosis in which hyphae were found in brain tissue or spinal fluid. The presence of central nervous system plastic devices appears to be associated with morphological reversion to the saprophytic form. This reversion has implications for diagnosis and therapy and may increase the risk of obstruction of the device(s).

Journal Article.  4247 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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