A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion
Coccidioidomycosis, also known as San Joaquin Valley fever, is an illness caused by the dimorphic fungus Coccidioides. Coccidioidomycosis is endemic to desert regions of the Western Hemisphere, including California, Arizona, Utah, Nevada, and New Mexico. We report a case of disseminated coccidioidom...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323008506 |
| _version_ | 1797398661097848832 |
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| author | Zoe N. Anderson, BS Kayla A. Aikins, BS Benjamin L. Bosse, MS Ryan W. Nolan, BS Riyaa Rajesh Rajesh Rangaswamy, MD Karthikram Raghuram, MD |
| author_facet | Zoe N. Anderson, BS Kayla A. Aikins, BS Benjamin L. Bosse, MS Ryan W. Nolan, BS Riyaa Rajesh Rajesh Rangaswamy, MD Karthikram Raghuram, MD |
| author_sort | Zoe N. Anderson, BS |
| collection | DOAJ |
| description | Coccidioidomycosis, also known as San Joaquin Valley fever, is an illness caused by the dimorphic fungus Coccidioides. Coccidioidomycosis is endemic to desert regions of the Western Hemisphere, including California, Arizona, Utah, Nevada, and New Mexico. We report a case of disseminated coccidioidomycosis in a 42-year-old male. Months after an upper respiratory infection of unidentified origin, the patient began experiencing back pain. The persistence of the back pain prompted MRI and CT imaging, which revealed lytic lesions. His clinical and radiological presentation mimicked, and was originally approached, as if it were a malignancy. Metastasis or multiple myeloma were considered the most likely differential diagnoses. As a result, the patient underwent surgical exploration. Pathology results indicated the presence of a fungal infection, without evidence of malignancy. PCR confirmed the diagnosis of coccidioidomycosis. The patient began treatment with fluconazole 800 mg daily and is anticipated to receive antifungal treatment for an indefinite period. |
| first_indexed | 2024-03-09T01:29:49Z |
| format | Article |
| id | doaj.art-e206d64659084d518c97c0c473a20e3a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T01:29:49Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-e206d64659084d518c97c0c473a20e3a2023-12-10T06:14:37ZengElsevierRadiology Case Reports1930-04332024-02-01192763767A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussionZoe N. Anderson, BS0Kayla A. Aikins, BS1Benjamin L. Bosse, MS2Ryan W. Nolan, BS3Riyaa Rajesh4Rajesh Rangaswamy, MD5Karthikram Raghuram, MD6School of Medicine, University of Nevada, Reno, Reno, NV, USA; Corresponding author.School of Medicine, University of Nevada, Reno, Reno, NV, USASchool of Medicine, University of Nevada, Reno, Reno, NV, USASchool of Medicine, University of Nevada, Reno, Reno, NV, USAUniversity of Southern California, Los Angeles, CA, USAReno Radiological Associates, Reno, NV, USAReno Radiological Associates, Reno, NV, USACoccidioidomycosis, also known as San Joaquin Valley fever, is an illness caused by the dimorphic fungus Coccidioides. Coccidioidomycosis is endemic to desert regions of the Western Hemisphere, including California, Arizona, Utah, Nevada, and New Mexico. We report a case of disseminated coccidioidomycosis in a 42-year-old male. Months after an upper respiratory infection of unidentified origin, the patient began experiencing back pain. The persistence of the back pain prompted MRI and CT imaging, which revealed lytic lesions. His clinical and radiological presentation mimicked, and was originally approached, as if it were a malignancy. Metastasis or multiple myeloma were considered the most likely differential diagnoses. As a result, the patient underwent surgical exploration. Pathology results indicated the presence of a fungal infection, without evidence of malignancy. PCR confirmed the diagnosis of coccidioidomycosis. The patient began treatment with fluconazole 800 mg daily and is anticipated to receive antifungal treatment for an indefinite period.http://www.sciencedirect.com/science/article/pii/S1930043323008506Disseminated vertebral coccidioidomycosisSan Joaquin Valley feverCoccidioidesMalignancyMedication noncomplianceImmunocompromised |
| spellingShingle | Zoe N. Anderson, BS Kayla A. Aikins, BS Benjamin L. Bosse, MS Ryan W. Nolan, BS Riyaa Rajesh Rajesh Rangaswamy, MD Karthikram Raghuram, MD A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion Radiology Case Reports Disseminated vertebral coccidioidomycosis San Joaquin Valley fever Coccidioides Malignancy Medication noncompliance Immunocompromised |
| title | A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion |
| title_full | A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion |
| title_fullStr | A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion |
| title_full_unstemmed | A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion |
| title_short | A complicated presentation of vertebral coccidioidomycosis dissemination: A case report and discussion |
| title_sort | complicated presentation of vertebral coccidioidomycosis dissemination a case report and discussion |
| topic | Disseminated vertebral coccidioidomycosis San Joaquin Valley fever Coccidioides Malignancy Medication noncompliance Immunocompromised |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323008506 |
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