Risk Factors and Epidemiology of Coccidioidomycosis Demonstrated by a Case of Spontaneous Pulmonary Rupture of Cavitary Coccidioidomycosis
Author
Source
Case Reports in Infectious Diseases
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 31-year-old Hispanic male with no medical history was admitted for fevers, pleurisy, and cough after recent oral surgery and completing demolition and construction work in Juarez, Mexico.
Imaging showed a 4.4 cm cavitary lesion and bilateral tree-in-bud opacities.
Initial suspicion of bacterial infection confirmed with clinical improvement on culture specific antibiotics, but after discharge he returned with progression of symptoms and new dyspnea.
Radiograph showed a pyopneumothorax.
Chest computed tomography after thoracostomy showed worsening infiltrates and another cavitary lesion.
Symptoms persisted despite addition of broad spectrum antibiotics.
Surgical repair for persistent air leak was required.
Weeks after discharge, cultures and serologies returned positive for Coccidioidomycosis immitis.
Coccidioides species cause up to 30% of community-acquired pneumonia and incidental cavitary lesions in endemic regions.
Symptoms are nonspecific yet usually involve fatigue, cough, and pleurisy.
Most hosts have spontaneous resolution; however, certain demographics such as Hispanics and diabetics, later diagnosed in our patient, have higher morbidity.
As seen with our patient, cavitary rupture and bronchopleural fistulas are rare occurring in 2.6% of cavitary lesions.
High suspicion based on symptoms and host demographics is important to assist in early diagnosis and treatment to avoid and treat this common pathogen’s presentations.
American Psychological Association (APA)
Yau, Amy A.. 2016. Risk Factors and Epidemiology of Coccidioidomycosis Demonstrated by a Case of Spontaneous Pulmonary Rupture of Cavitary Coccidioidomycosis. Case Reports in Infectious Diseases،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101023
Modern Language Association (MLA)
Yau, Amy A.. Risk Factors and Epidemiology of Coccidioidomycosis Demonstrated by a Case of Spontaneous Pulmonary Rupture of Cavitary Coccidioidomycosis. Case Reports in Infectious Diseases No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101023
American Medical Association (AMA)
Yau, Amy A.. Risk Factors and Epidemiology of Coccidioidomycosis Demonstrated by a Case of Spontaneous Pulmonary Rupture of Cavitary Coccidioidomycosis. Case Reports in Infectious Diseases. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101023
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101023