HANS E. EINSTEIN, M.D., F.A.C.P.
To the editor: Our group have also been interested in simultaneous ventricular and lumbar cerebrospinal fluid findings in coccidioidal meningitis, as reported by Goldstein, Winship, and Pappagianis, in the August issue (77:243-246, 1972); our findings have been similar. The comment by Drs. Holt, Gray, and Lerner, in the November issue (77:814, 1972), makes the point that in their case of cryptococcal meningitis the cisternal fluid had a consistently higher cell count than the lumbar fluid.
A review of the published studies on the pathology of central nervous cryptococcosis (1, 2) shows clearly that this is frequently a ventriculitis, whereas coccidioidomycosis
EINSTEIN HE. Spinal Fluid in Coccidioidal Meningitis. Ann Intern Med. ;78:621. doi: 10.7326/0003-4819-78-4-621
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Published: Ann Intern Med. 1973;78(4):621.
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