Primary Cutaneous Coccidioidomycosis in an Italian Nun Working in South America and Review of Published Literature

Coccidioidomycosis is a systemic disease caused by the dimorphic fungus Coccidioides, endemic in parts of the Southwestern USA and Central and South America. Two species, Coccidioides immitis and Coccidioides posadasii , were differentiated. Primary cutaneous coccidioidomycosis (PCC) has been report...

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Bibliographic Details
Published in:Mycopathologia (1975) 2015-10, Vol.180 (3-4), p.229-235
Main Authors: Tortorano, A. M., Carminati, G., Tosoni, A., Tintelnot, K.
Format: Article
Language:English
Subjects:
Analysis
Argentina
Biomedical and Life Sciences
Biopsy
Coccidioides
Coccidioides - classification
Coccidioides - genetics
Coccidioides - isolation & purification
Coccidioides immitis
Coccidioidomycosis
Coccidioidomycosis - diagnosis
Coccidioidomycosis - microbiology
Coccidioidomycosis - pathology
Diagnosis
Eukaryotic Microbiology
Female
Granulomas
Health aspects
Histocytochemistry
Histopathology
Humans
Immunocompetence
Infection
Infections
Italy
Life Sciences
Medical Microbiology
Microbial Ecology
Microbiology
Microscopy
Middle Aged
Nuns
Plant Sciences
Sequence Analysis, DNA
Skin - pathology
Systemic diseases
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Summary:Coccidioidomycosis is a systemic disease caused by the dimorphic fungus Coccidioides, endemic in parts of the Southwestern USA and Central and South America. Two species, Coccidioides immitis and Coccidioides posadasii , were differentiated. Primary cutaneous coccidioidomycosis (PCC) has been reported rarely. An unusual case of PCC characterized by a persistent solitary lesion diagnosed in Italy in an immunocompetent Italian nun living in Argentina is described. The isolate was identified by sequence analysis as C. posadasii. Antibody screening was negative. A total of 39 cases of PCC have been reported in the literature. Infections occurred as a consequence of traumatic implantation in a natural setting in endemic areas or of accidental inoculation in laboratory workers. Importance of accurate investigation of travel history and of occupational hazards to laboratory workers is outlined.
ISSN:0301-486X
1573-0832
DOI:10.1007/s11046-015-9895-0