Small Bowel Dissemination of Coccidioidomycosis
Joint Authors
Zhou, Shengmei
Ma, Yanling
Chandrasoma, Parakrama
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Gastrointestinal coccidioidomycosis is extremely rare, with less than 10 cases reported in the literature.
We report a case of small bowel dissemination of coccidioidomycosis in a 21-year-old African American male with a history of living in San Joaquin Valley.
The patient presented with one week of abdominal pain, nausea, shortness of breath, intermittent fever, and sweat, and one month of abdominal distention.
A chest radiograph revealed complete effusion of left lung.
A computed tomography scan of the abdomen showed diffuse small bowel thickening and enhancement, as well as omental and peritoneal nodules, and ascites.
The coccidioidal complement fixation titer was 1 : 256.
The duodenal biopsy revealed many spherules filled with round fungal endospores.
Later, blood fungal culture showed positivity for Coccidioides immitis.
The final diagnosis is disseminated coccidioidomycosis involving lungs, blood, and duodenum.
Despite aggressive antifungal therapy, the patient’s clinical situation deteriorated and he succumbed to multisystem organ failure one and half months later.
A high index of suspicion for gastrointestinal coccidioidomycosis should be maintained in patients from an endemic area presenting as abdominal distention and pain.
American Psychological Association (APA)
Zhou, Shengmei& Ma, Yanling& Chandrasoma, Parakrama. 2015. Small Bowel Dissemination of Coccidioidomycosis. Case Reports in Pathology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059708
Modern Language Association (MLA)
Zhou, Shengmei…[et al.]. Small Bowel Dissemination of Coccidioidomycosis. Case Reports in Pathology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1059708
American Medical Association (AMA)
Zhou, Shengmei& Ma, Yanling& Chandrasoma, Parakrama. Small Bowel Dissemination of Coccidioidomycosis. Case Reports in Pathology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1059708
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059708