Miliary coccidioidomycosis mimicking tuberculosis: Case report and review of literature
Oscar E. Gallardo-Huizar, Joyce Lee, Kailyn Kim, Arthur C. Jeng
TL;DR
A rare case of miliary coccidioidomycosis in a diabetic patient is presented, along with a review of similar cases.
Contribution
The paper contributes a detailed case report and literature review highlighting miliary coccidioidomycosis in diabetic patients.
Findings
Miliary coccidioidomycosis was observed in a 46-year-old patient with uncontrolled diabetes.
A review of 37 cases showed risk factors and clinical features of disseminated coccidioidomycosis.
The disease can mimic tuberculosis, leading to diagnostic challenges.
Abstract
Miliary coccidioidomycosis is a severe manifestation of diseases caused by Coccidioides immitis and Coccidioides posadasii that is endemic to the southwestern United States as well as Central and South America. While most cases of coccidioidomycosis present with pulmonary disease, certain risk factors increase the risk for disseminated disease. We present a case of miliary coccidioidomycosis in a 46-year-old patient with uncontrolled diabetes. Additionally, we review the features of thirty-seven cases of patients with miliary coccidioidomycosis.
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Taxonomy
TopicsFungal Infections and Studies · Antifungal resistance and susceptibility · Infectious Diseases and Mycology