The following case report is of interest because of the relative rarity of coccidioidal granuloma and because it simulated brain tumor.
M. E. H., a girl aged 4 years, first seen Oct. 4, 1937, had been "losing ground" for six months and had had headaches for four months, nausea and vomiting for two months and an unsteady gait for one month. The family history was not important. She had measles at 2 years and a tonsillectomy at 3.
The headaches had been periodic and mostly frontal. The vomiting had been frequent, usually in the mornings. The unsteadiness of gait, with the child staggering to the left, had grown progressively worse. She had occasional pains in both legs. Mentally she had been alert.
At examination her height was found to be 40 inches (102 cm.) and her weight 31 pounds (14 Kg.). The frontal bosses were prominent and there was a