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Peritoneal and genital coccidioidomycosis in an otherwise healthy Danish female: a case report.
BMC Infect Dis. 2017 Jan 31;17(1):105
Publication Type
O. Bæk
K. Astvad
R. Serizawa
LJ Wheat
PT Brenøe
AE Hansen
BMC Infect Dis. 2017 Jan 31;17(1):105
Publication Type
Abdomen, Acute - etiology
Coccidioidomycosis - complications - diagnosis - diagnostic imaging
Diagnosis, Differential
Lung Diseases, Fungal - complications - diagnosis - diagnostic imaging
Peritoneal Diseases - complications - diagnosis - diagnostic imaging
Tomography, X-Ray Computed
Coccidioidomycosis is a fungal infection that usually presents as a primary lung infection. The fungus is endemic to the Southwest United States of America, northern Mexico and parts of Central and South America the infection is rare outside these areas. However, some patients develop disseminated infection that can lie dormant for several years and can present itself in travelers. We report the first case of extra pulmonary Coccidioidomycosis in a non-immunocompromised individual in Denmark.
A 32 year old Danish woman presented at the Emergency department with abdominal pain. Computed tomography scan and ultrasound examination of the pelvis raised suspicion of salpingitis. A laparoscopy exposed a necrotic salpinx and several small white elements that resembled peritoneal carcinomatosis. Histological workup however determined that she suffered from disseminated coccidioidomycosis. The patient had lived 2 years in Las Vegas, in the United States of America, 7 years prior and had no memory of lung infection at the time.
Disseminated coccidioidomycosis is rare in non-immunocompromised individuals. The patient in this case underwent several rounds of in vitro fertilization treatment in the years before admittance. We suspect that the hormonal treatment in combination with low-dose prednisolone may have triggered reemergence of the disease and present literature that support this.
Cites: Ann N Y Acad Sci. 2007 Sep;1111:301-1417363434
Cites: Obstet Gynecol. 2004 Nov;104(5 Pt 2):1177-915516443
Cites: Clin Microbiol Rev. 1990 Jul;3(3):247-682200605
Cites: Mycopathologia. 1999;145(3):121-610685446
Cites: Obstet Gynecol. 1975 Feb;45(2):199-2021118094
Cites: J Infect Dis. 1983 Mar;147(3):372-906300253
Cites: J Clin Microbiol. 1983 Sep;18(3):529-346415091
Cites: Urology. 2014 Dec;84(6):e30-125306476
Cites: Infect Immun. 1983 May;40(2):478-856188699
Cites: Ugeskr Laeger. 1993 May 31;155(22):1722-38317018
Cites: MBio. 2016 Apr 26;7(2):e00550-1627118594
Cites: Clin Infect Dis. 2016 Sep 15;63(6):e112-4627470238
Cites: Ann Clin Lab Sci. 2015 Fall;45(5):585-726586713
Cites: BMJ Case Rep. 2012 Nov 27;2012:null23188867
Cites: J Gastrointestin Liver Dis. 2015 Dec;24(4):527-3026697582
Cites: Scand J Infect Dis. 2006;38(6-7):532-316798706
PubMed ID
28143444 View in PubMed
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