Journal of the American Academy of Nurse Practitioners · 2005
Coccidioidal meningitis presenting as memory loss.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Snyder Charlene Hoffman
Аннотация
PURPOSE: This case study is designed to help the nurse practitioner recognize atypical symptoms of coccidioidal meningitis, particularly in high-risk groups that require further diagnostic treatment.
DATA SOURCES: Selected research, clinical articles, and case studies.
CONCLUSIONS: Coccidioidal meningitis is a potentially lethal infection unless recognized and treated. Unlike other infectious meningitides that present with more acute meningeal symptoms, disseminated coccidioidomycosis can present insidiously. When it presents as cognitive dysfunction, it may be mistaken for early dementia and if undiagnosed can result in death. While it is an infectious disease that is endemic to a small number of southwestern states, these areas see a high volume of tourists who can unwittingly become infected. Knowledge of this infectious disease and the many ways it can imitate other diseases is critical to its early recognition and treatment.
IMPLICATIONS FOR PRACTICE: Failure to recognize this reemerging, endemic fungal infection in high-risk groups can result in death.
DATA SOURCES: Selected research, clinical articles, and case studies.
CONCLUSIONS: Coccidioidal meningitis is a potentially lethal infection unless recognized and treated. Unlike other infectious meningitides that present with more acute meningeal symptoms, disseminated coccidioidomycosis can present insidiously. When it presents as cognitive dysfunction, it may be mistaken for early dementia and if undiagnosed can result in death. While it is an infectious disease that is endemic to a small number of southwestern states, these areas see a high volume of tourists who can unwittingly become infected. Knowledge of this infectious disease and the many ways it can imitate other diseases is critical to its early recognition and treatment.
IMPLICATIONS FOR PRACTICE: Failure to recognize this reemerging, endemic fungal infection in high-risk groups can result in death.
Предметные рубрики MeSH
AgedAntifungal AgentsCoccidioidesCoccidioidomycosisDiabetes Mellitus, Type 2Diagnosis, DifferentialEndemic DiseasesFluconazoleHumansMagnetic Resonance ImagingMaleMedical History TakingMemory DisordersMeningitis, FungalMental Status ScheduleNeuropsychological TestsNurse PractitionersNurse's RoleNursing AssessmentPhysical ExaminationRisk FactorsSoil Microbiology