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KMID : 0357919780120020199
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Korean Journal of Pathology
1978 Volume.12 No. 2 p.199 ~ p.205
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A Case of Coccidioidomycosis
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최태열(崔泰悅)/Tae Yeal Choi
김춘원(金春元)/김기홍(金箕洪)/Choon Won Kim/Ki Hong Kim
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Abstract
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A coccididomycosis is a kind of systemic fungal infection, respiratory in origin, that
spreads hematogeneously to skin, subcutaneous tissue, bone, CNS, and other organs.
The author here present a case of systemic coccidioidomycosis with skin involvement
which has been found in Dec. 1974, for the first time in Korea. The coccidioidomycosis
is proved through skin biopsy and mycotic culture from skin lesion. The patient was 57
year old Korean male whose occupation was a cattle breeder. The skin lesion on left
extremity showed several skin colored or light brownish papules and surrounding
circular erythematous scaly patches with slightly elevated borders. The patient also
found to have diabetes mellitus and resultant neuropathy. Histologic picture of skin
biopsy showed granuloamatous lesion in the upper dermis and numerous spherules both
inside and out side of giant cells. Mycologic culture from grind skin specimen on
Sabouraud's agar showed snow white colony and typical arthrospres.
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