Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis

Coccidioides is a dimorphic fungus that can cause various clinical presentations, mainly pulmonary, skin, musculoskeletal, and in the central nervous system; most reports are in the southwestern area of the USA. We present a case of a young male with a perianal abscess in the absence of any pulmonar...

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Bibliographic Details
Published in:IDCases 2022-01, Vol.30, p.e01636, Article e01636
Main Authors: Olivo-Freites, Christian, Gallardo-Huizar, Oscar E., Graber, Christopher J., Ikuta, Kevin
Format: Article
Language:English
Subjects:
Abscess
Case Report
Coccidioides
Coccidioidomycosis
Perianal
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Summary:Coccidioides is a dimorphic fungus that can cause various clinical presentations, mainly pulmonary, skin, musculoskeletal, and in the central nervous system; most reports are in the southwestern area of the USA. We present a case of a young male with a perianal abscess in the absence of any pulmonary or constitutional symptoms. Perianal abscess as initial manifestation is a novel presentation of coccidioidomycosis in the literature. •Disseminated coccidioidomycosis can cause perianal abscesses.•Certain ethnic groups are at increased risk of disseminated coccidioidomycosis.•Cutaneous coccidioidomycosis can occur due to dissemination or direct cutaneous inoculation.
ISSN:2214-2509
2214-2509
DOI:10.1016/j.idcr.2022.e01636