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Coccidioidomycosis Masquerading as Eosinophilic Ascites
Joint Authors
Alavi, Kourosh
Atla, Pradeep R.
Haq, Tahmina
Sheikh, Muhammad Y.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Endemic to the southwestern parts of the United States, coccidioidomycosis, also known as “Valley Fever,” is a common fungal infection that primarily affects the lungs in both acute and chronic forms.
Disseminated coccidioidomycosis is the most severe but very uncommon and usually occurs in immunocompromised individuals.
It can affect the central nervous system, bones, joints, skin, and, very rarely, the abdomen.
This is the first case report of a patient with coccidioidal dissemination to the peritoneum presenting as eosinophilic ascites (EA).
A 27-year-old male presented with acute abdominal pain and distention from ascites.
He had eosinophilia of 11.1% with negative testing for stool studies, HIV, and tuberculosis infection.
Ascitic fluid exam was remarkable for low serum-ascites albumin gradient (SAAG), PMN count >250/mm3, and eosinophils of 62%.
Abdominal imaging showed thickened small bowel and endoscopic testing negative for gastric and small bowel biopsies.
He was treated empirically for spontaneous bacterial peritonitis, but no definitive diagnosis could be made until coccidioidal serology returned positive.
We noted complete resolution of symptoms with oral fluconazole during outpatient follow-up.
Disseminated coccidioidomycosis can present in an atypical fashion and may manifest as peritonitis with low SAAG EA.
The finding of EA in an endemic area should raise the suspicion of coccidioidal dissemination.
American Psychological Association (APA)
Alavi, Kourosh& Atla, Pradeep R.& Haq, Tahmina& Sheikh, Muhammad Y.. 2015. Coccidioidomycosis Masquerading as Eosinophilic Ascites. Case Reports in Gastrointestinal Medicine،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058573
Modern Language Association (MLA)
Alavi, Kourosh…[et al.]. Coccidioidomycosis Masquerading as Eosinophilic Ascites. Case Reports in Gastrointestinal Medicine No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058573
American Medical Association (AMA)
Alavi, Kourosh& Atla, Pradeep R.& Haq, Tahmina& Sheikh, Muhammad Y.. Coccidioidomycosis Masquerading as Eosinophilic Ascites. Case Reports in Gastrointestinal Medicine. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058573
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058573