| Autor: |
Ward CM; Division of Allergy, Immunology and Rheumatology, Department of Medicine, New Jersey Medical School, Newark, USA., Zuromskis PJ, Ives DV, Sheikh J |
| Jazyk: |
angličtina |
| Zdroj: |
Allergy and asthma proceedings [Allergy Asthma Proc] 2007 May-Jun; Vol. 28 (3), pp. 382-7. |
| DOI: |
10.2500/aap.2007.28.2969 |
| Abstrakt: |
There is a broad differential for patients presenting with fever, eosinophilia, and pneumonia. We present a case of a 48-year-old man who presented with recurrent fever, pleuritic chest pain, and cough. His medical history was significant for a recent trip to Arizona. A chest X ray showed a right lower lobe infiltrate and CT examination of the chest showed extensive mediastinal lymphadenopathy. Tissue culture from a biopsy specimen of the mediastinal lymph nodes revealed growth of Coccidioides immitis and a diagnosis of coccidioidomycosis was made. He was treated with a total of a 9-month course of itraconazole and has remained disease free for >2 years. This case shows how a careful history and evaluation will direct the clinician to the correct diagnosis. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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