Cryptic Cerebral Phycomycosis

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To the editor: Cryptic cerebral phycomycosis is unusual (1, 2), and clinical presentation has been accompanied by localizing neurologic signs. We report the occurrence of cerebral phycomycosis in a patient with a clinical presentation compatible with meningitis.

A 31-year-old woman with chronic active hepatitis of 16 years' duration was admitted to Barnes Hospital for evaluation of fever, headache, and nausea. Two months before admission she developed malaise, anorexia, and weight loss, which resolved on prednisone therapy (20 mg/d). Five days before admission she noted the onset of myalgias, headache with

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