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Tuberc Respir Dis > Volume 66(3); 2009 > Article
Tuberculosis and Respiratory Diseases 2009;66(3):220-224.
DOI: https://doi.org/10.4046/trd.2009.66.3.220    Published online March 1, 2009.
Pulmonary Coccidioidomycosis in Immunocompetent Patient.
Se Won Kim, , Jin Young Oh, , Eo Jin Kim, , Gun Min Park,
1Department of Internal Medicine, University of Dongguk College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. pgm1134@duih.org
2Department of Pathology, University of Dongguk College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
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.
Key Words: Fungi, Coccidioidomycosis, Cough, Fever


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