# Miliary coccidioidomycosis mimicking tuberculosis: Case report and review of literature

## 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.

## Key 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.