Adjunctive Corticosteroid Therapy in the Treatment of Coccidioidal Meningitis
Author(s) -
George R. Thompson,
Janis E. Blair,
Sharon Wang,
Robert Bercovitch,
Michael Bolaris,
Dane Van Den Akker,
Rodrigo López,
Arash Heidari,
Antonino Catanzaro,
José Cadena,
Peter ChinHong,
Brad Spellberg,
Royce H. Johnson
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix318
Subject(s) - medicine , corticosteroid , retrospective cohort study , adjunctive treatment , meningitis , cohort study , cohort , surgery
Coccidioidal meningitis (CM) has high morbidity, and adjunctive measures to improve outcomes are needed. Using an established multicenter retrospective cohort study of CM (N = 221), we found that patients receiving adjunctive corticosteroids had a significant reduction in secondary cerebrovascular events (P = .0049). Those with CM-associated cerebrovascular events (8%) may benefit from short-term corticosteroids.
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