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Tuberculosis & Respiratory Diseases

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Vol.58 No.4
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A Case of Disseminated Coccidioidomycosis Involving Lung and Skin in Patient with Diabetes Mellitus and Iatrogenic Cushings Syndrome

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2005, v.58 no.4, pp.399-403











& (2005). A Case of Disseminated Coccidioidomycosis Involving Lung and Skin in Patient with Diabetes Mellitus and Iatrogenic Cushings Syndrome. Tuberculosis & Respiratory Diseases, 58(4), 399-403.
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Abstract

Coccidioidomycosis is caused by a dimorphous fungus, Coccidioides, which consists of two species, C. immitis and C. posadasii. Although these organisms are genetically distinct and do not exchange DNA, they appear identical phenotypically and the disease or immune response to the organisms is also identical. Coccidioides grows as a mycelium in the soil and is mainly found in Southwestern United States, northwestern Mexico, and Argentina. An infection usually results from inhaling the spores of the fungus in an endemic area. Patients with a localized infection and no risk factors for complications often require only a periodic reassessment to demonstrate the resolution of the self-limited process. However, patients with extensive spread of infection or high risk of complications as a result of immunosuppression or other preexisting factors require a variety of treatment strategies such as antifungal therapy, surgical debridement, or both. Korea is not endemic area of a coccidioidomycosis. We report a case of disseminated coccidioidomycosis involving the lung and skin, which was detected incidentally after sunburn in a 69 year-old Korean male with diabetes mellitus and iatrogenic Cushings syndrome, with a review of the relevant literature. (Tuberc Respir Dis 2005; 58: 399-403)

keywords
Coccidioidomycosis, Sunburn, Diabetes mellitus, Cushings syndrome

Reference

1.

(2002) Taylor JW. Molecular and phenotypic description of Coccidioides posadasii sp. Nov. previously recognized as the non-California population of Coccidioides immitis.,

2.

(jthoraccardiovascsurg1982) Coccidioidal pulmonary cavities with rupture,

3.

(1999) Coccidioidomycosis : a regional disease of national importance. ,

4.

(1961) Coccidioidal meningitis:the use of amphotericin B in treatment,

5.

(mycosis.koreanjpathol1978199-205.) Kim KH. A case of Coccidioido�,

6.

(1996) Lee WG. A case of disseminated Coccidioidomycosis topy report,

7.

(1991) New serologic tests for early detection of Coccidioidomycosis,

8.

Park CS. A case of pulmonary Coccidioidomycosis. Tuberc Respir Dis 1990,

9.

Rapid diagnosis of Coccidioidomycosis with a DNA probe to ribo,

10.

The first imported case of pulmonary Coccidioidomycosis in Korea. ,

11.

(2000) Practice guideline for the treatment of Coccidioidomycosis,

12.

(1997) Coccidioidomycosis,

13.

(2001) Pulmonary Coccidi^#56194 oidomycosis diagnosed in an immigrant.,

14.

McKerrow JH. Proteinase production by the parasitic cycle of the pathogenic fungus Coccidioides immitis. Infect Immun 1987,

15.

(2003) Coccidioidomycosis. ,

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