Coccidioidal Peritonitis: A Review of 17 Cases.

Autor: Johnson RH; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA.; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA., Sharma R; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA., Sharma R; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA., Civelli V; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA., Narang V; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA.; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA., Kuran R; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA.; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA., Goldstein EJC; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA.; R.M. Alden Research Laboratories, Santa Monica, California, USA., Deresinski S; Clinical Professor of Medicine, Department of Medicine/Infectious Diseases, Stanford University, Stanford, California, USA., Jones A; Department of Surgery, Kern Medical, Bakersfield, California, USA., Ramzan A; Department of OB/GYN, Kern Medical, Bakersfield, California, USA., Posalski I; Division of Infectious Diseases, Cedars Sinai, Los Angeles, California, USA., El-Sayed D; Division of Infectious Diseases, Ventura County Medical Center, Ventura, California, USA., Thompson GR 3rd; Department of Internal Medicine, Division of Infectious Diseases, University of California Davis Medical Center, Sacramento, California, USA.; Department of Medical Microbiology and Immunology, University of California Davis, Davis, California, USA., D'Assumpcao C; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA.; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA., Heidari A; Department of Medicine, Division of Infectious Diseases, Kern Medical, Bakersfield, California, USA.; Valley Fever Institute, Bakersfield, California, USA.; Department of Medicine, David Geffen School of Medicine UCLA, Los Angeles, California, USA.
Jazyk: angličtina
Zdroj: Open forum infectious diseases [Open Forum Infect Dis] 2022 Jan 19; Vol. 9 (3), pp. ofac017. Date of Electronic Publication: 2022 Jan 19 (Print Publication: 2022).
DOI: 10.1093/ofid/ofac017
Abstrakt: Coccidioidomycosis is the second most common endemic fungal infection in the United States. Prior descriptions of coccidioidal peritonitis include only single cases. We describe 17 new cases previously unreported from healthcare institutions in California. The majority of cases presented with nonspecific abdominal complaints. PubMed and Google Scholar were searched for additional case series and only single case reports and reviews of single cases were found. The diagnosis was confirmed by culture or histopathology and/or serology in each patient. All patients were treated with anti-fungal therapy. This case series demonstrates that coccidioidal peritonitis may be asymptomatic or present with only subtle abdominal symptoms. In a minority of our patients, the diagnosis was established incidentally during surgery. Based on this series, the overall outcome of coccidioidal peritonitis is favorable with long-term triazole treatment. The term cure is not usually used in disseminated coccidioidal disease because of the risk of late relapse.
(© The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)
Databáze: MEDLINE
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