Coccidioidomycosis: Imported and possible domestic cases in China: A case report and review, 1958‐2017

Summary We report a case of imported pulmonary coccidioidomycosis caused by Coccidioides posadasii in a patient who was misdiagnosed as tuberculosis and mistreated with antituberculosis medications for 18 months. The symptoms were not relieved until antifungal treatment was started. An extensive rev...

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Bibliographic Details
Published in:Mycoses 2018-07, Vol.61 (7), p.506-513
Main Authors: Liang, Guanzhao, Shen, Yongnian, Lv, Guixia, Zheng, Hailin, Mei, Huan, Zheng, Xiaoli, Kong, Xue, Blechert, Oliver, Li, Dongmei, Liu, Weida
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Antifungal Agents - administration & dosage
Antifungal Agents - therapeutic use
Antitubercular Agents - therapeutic use
Case reports
Child, Preschool
China - epidemiology
Coccidioides
Coccidioidomycosis
Coccidioidomycosis - diagnosis
Coccidioidomycosis - diagnostic imaging
Coccidioidomycosis - epidemiology
Coccidioidomycosis - microbiology
Communicable Diseases, Imported - diagnosis
Communicable Diseases, Imported - drug therapy
Communicable Diseases, Imported - epidemiology
Communicable Diseases, Imported - microbiology
Diagnostic Errors
Female
Humans
imported mycosis
Lung - diagnostic imaging
Lung - microbiology
Male
Middle Aged
Tomography, X-Ray Computed
Travel
Tuberculosis
Tuberculosis - drug therapy
Tuberculosis - epidemiology
Tuberculosis - microbiology
voriconazole
Voriconazole - administration & dosage
Voriconazole - therapeutic use
Young Adult
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Summary:Summary We report a case of imported pulmonary coccidioidomycosis caused by Coccidioides posadasii in a patient who was misdiagnosed as tuberculosis and mistreated with antituberculosis medications for 18 months. The symptoms were not relieved until antifungal treatment was started. An extensive review of the coccidioidomycosis cases occurring in China reveals 38 cases, 16 of which had no associated history of travel to any traditional endemic areas. We speculate that some factors may drive Coccidioides spp. transference to China, which then causes those domestic infections. Moreover, we indicate the first, to the best of our knowledge, possible endemic areas in China.
ISSN:0933-7407
1439-0507
DOI:10.1111/myc.12750