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KMID : 0383820090660030220
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Tuberculosis and Respiratory Diseases
2009 Volume.66 No. 3 p.220 ~ p.224
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Pulmonary Coccidioidomycosis in Immunocompetent Patient
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Kim Se-Won
Oh Jin-Young
Park Gun-Min
Kim Eo-Jin
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Abstract
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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.
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KEYWORD
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Fungi, Coccidioidomycosis, Cough, Fever
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