Pulmonary Coccidioidomycosis in Immunocompetent Patient.
10.4046/trd.2009.66.3.220
- Author:
Se Won KIM
1
;
Jin Young OH
;
Eo Jin KIM
;
Gun Min PARK
Author Information
1. Department of Internal Medicine, University of Dongguk College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. pgm1134@duih.org
- Publication Type:Case Report
- Keywords:
Fungi;
Coccidioidomycosis;
Cough;
Fever
- MeSH:
Adult;
Arizona;
Biopsy, Needle;
Coccidioides;
Coccidioidomycosis;
Cough;
Emigration and Immigration;
Female;
Fever;
Fungi;
Humans;
Incidence;
Lung;
Lymph Nodes;
Soil;
Thorax;
United States
- From:Tuberculosis and Respiratory Diseases
2009;66(3):220-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coccidioidomycosis is a fungal infection caused by the soil fungus, Coccidioides immitis, which is endemic to the south-western United States. However, the incidence of coccidioidomycosis has recently increased due to the increase in overseas travel to endemic areas. We report a case of pulmonary coccidioidomycosis diagnosed in an immunocompetent person. A 28-year-old female, who had lived in Phoenix, Arizona, USA for 2 years, was admitted for an evaluation of persistent cough with fever lasting for 2 weeks. The chest X-ray and Chest CT revealed multifocal patchy consolidation and ground-glass opacity in both lungs as well as multiple enlarged right hilar and paratracheal lymph nodes. A percutaneous needLe biopsy of the main mass-like consolidation confirmed mature spherules of Coccidioides immitis in lung tissue. Pulmonary coccidioidomycosis should be considered in patients presenting with persistent cough with fever and a history of travel to or immigration from an endemic area.
