Perplexing Pericarditis Caused by Coccidioidomycosis
1993; Lippincott Williams & Wilkins; Volume: 86; Issue: 6 Linguagem: Inglês
10.1097/00007611-199306000-00023
ISSN1541-8243
Autores Tópico(s)Antifungal resistance and susceptibility
ResumoIn the patient I have described, evaluation of chronic progressive pulmonary coccidioidomycosis presenting itself as cryptogenic pericarditis revealed an unsuspected large endobronchial coccidioidoma. At follow-up after 2 years of fluconazole therapy, the patient was asymptomatic, with a dramatic decrease in infiltrate but no change in CF titers. In endemic areas, coccidioidomycosis should be included in the differential diagnosis of idiopathic pericarditis, especially in high-risk patient populations. Additionally, airway obstruction or compromise might be an early finding in chronic coccidial disease.
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