Coccidioidal Meningitis: Incidental Diagnosis 3 Y after Ventriculo-peritoneal Shunt Placement for Hydrocephalus

A patient from the American Midwest developed hydrocephalus after a trip to southwest California, necessitating placement of a ventriculo-peritoneal shunt. Coccidioidal meningitis was diagnosed incidentally 3 y later, during evaluation for shunt malfunction.