속립성 폐결절로 발현된 파종성 콕시디오이데스 진균증
Disseminated Coccidioidomycosis Presenting with Miliary Nodules
이상엽 (고려대학교)
손장욱 (고려대학교)
심재정 (고려대학교)
박대원 (고려대학교)
신철 (고려대학교)
인광호 (고려대학교)
유세화 (고려대학교)
이승룡 (고려대학교)
김제형 (고려대학교)
강경호 (고려대학교)
허규영 (고려대학교)
정기환 (고려의대)
정혜철 (고려의대)
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Abstract
Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis.(Tuberc Respir Dis 2006; 60: 97-101)
- keywords
- Fungi, Coccidioidomycosis, Pulmonary nodules
참고문헌
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