| Disseminated Coccidioidomycosis Presenting with Miliary Nodules. |
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Jung Ha Kim, Gyu Young Hur, Ki Hwan Jung, Hae Chul Jung, Dae Won Park, Sung Yong Lee, Sang Yeub Lee, Je Hyeong Kim, Jang Uk Shon, Chol Shin, Jae Jeong Shim, Kwang Ho In, Kyung Ho Kang, Se Hwa Yoo |
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Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. chol-shin@hanmail.net |
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| Abstract |
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Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis. |
| Key Words:
Fungi, Coccidioidomycosis, Pulmonary nodules |
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