Coccidioidomycosis presenting years after returning from travel

Autor: Koos Korsten, Josje Altenburg, Marieke Gittelbauer, Peter van Hengel, Rogier Jansen, Karin van Dijk
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medical Mycology Case Reports, Vol 43, Iss , Pp 100623- (2024)
Druh dokumentu: article
ISSN: 2211-7539
DOI: 10.1016/j.mmcr.2023.100623
Popis: After having traveled to California in 2017, a 26-year old Dutch man presented in 2020 with persisting cough and shortness of breath. Radiology showed cystic bronchiectasis with peri-bronchial consolidation in his right upper lobe. Laboratory studies in August 2021 showed an increased total IgE, specific Aspergillus IgE, eosinophilia and positive BAL culture for Coccidioides immitis/posadasii. After 6 weeks of itraconazole treatment for suspected allergic bronchopulmonary aspergillosis, symptoms persisted and respiratory cultures remained positive. The infection was cleared after a 6-month course of fluconazole. (max 75 words)
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