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, Richard E. Bryant

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


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).

Original languageEnglish (US)
Pages (from-to)349-355
Number of pages7
JournalClinical Infectious Diseases
Issue number2
StatePublished - 2000

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases


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