Diagnosing coccidioidomycosis outside an endemic area

A 65-year-old female with a long-standing controlled Crohn's disease was admitted in August 1979 to a Montreal hospital for investigation of a non-calcified RUL lung nodule. After an extensive work-up (negative bronchoscopy and mediastinoscopy showing a granulomatous reaction) she underwent tho...

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Bibliographic Details
Published in:Mycopathologia (1975) 1983-01, Vol.82 (2), p.95-99
Main Authors: Kapica, L, Matouk, E, D'Halewyn, MA
Format: Article
Language:English
Subjects:
Coccidioides immitis
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Summary:A 65-year-old female with a long-standing controlled Crohn's disease was admitted in August 1979 to a Montreal hospital for investigation of a non-calcified RUL lung nodule. After an extensive work-up (negative bronchoscopy and mediastinoscopy showing a granulomatous reaction) she underwent thoracotomy; the nodule was enucleated and showed caseous material within a fibrous capsule. The patient, who travelled to Arizona three times in recent years, was soon discharged and remains apparently well. Because of inherent risks from handling cultures of C. immitis , the authors urge that, when coccidioidomycosis is considered clinically and epidemiologically, the pertinent information be transmitted to the laboratory.
ISSN:0301-486X