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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Baxi, Sanjiv M. Chin-hong, Peter Iribarne, Daniela Langelier, Charles |
| Spatial Coverage | Southwestern United States |
| Description | Author Affiliation: Langelier C ( Department of Internal Medicine, University of California San Francisco, San Francisco, California, USA.); Baxi SM ( Department of Internal Medicine, Division of Infectious Diseases, University of California San Francisco, San Francisco, California, USA.); Iribarne D ( Department of Internal Medicine, Mt. Sinai School of Medicine, New York, New York, USA.); Chin-Hong P ( Department of Internal Medicine, Division of Infectious Diseases, University of California San Francisco, San Francisco, California, USA.) |
| Abstract | Coccidioidomycosis is an insidious fungal disease, endemic to arid regions of the Americas, which is becoming more frequently recognised worldwide. While most infections resemble a mild respiratory illness, a subset of cases progress to severe pneumonia or systemic dissemination. Here, we describe a case of disseminated coccidioidomycosis in a 54-year-old immunocompetent African-American man with geographic and demographic risk factors for Coccidiodes acquisition who presented with 2â months of fevers, fatigue, weight loss and painful skin lesions. Blood count and serum chemistry studies initially demonstrated leukocytosis, anaemia, hyponatraemia and acute renal failure. Chest imaging revealed numerous small pulmonary nodules and skin biopsy, serological studies and blood cultures eventually confirmed disseminated infection with Coccidioides immitis. This case highlights important features regarding the risk factors, spectrum of clinical findings, evaluation and treatment of coccidioidomycosis relevant to providers in endemic areas and throughout the world. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2014 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Coccidioidomycosis Diagnosis Communicable Diseases, Emerging Fungemia Antifungal Agents Therapeutic Use Drug Therapy Microbiology Diagnosis, Differential Fatigue Etiology Fever Fluconazole Risk Factors Skin Pathology Southwestern United States Weight Loss Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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