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ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2019, Number 3

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Rev Latin Infect Pediatr 2019; 32 (3)

Giant pneumatocele secondary to pulmonary coccidioidomycosis in the immunocompetent patient. A case report and literature review

Juárez RI, Martínez BME, Ordoñez OJ, Reséndiz SJ, Morayta‑Ramírez A

Language: Spanish
References: 15
Page: 113-118
PDF size: 274.32 Kb.


ABSTRACT

Coccidioidomycosis (CM) is a deep mycosis caused by a biphasic fungus called Coccidioides that starts at the pulmonary level and can spread. In Mexico, the second most frequent systemic mycosis is CM; with greater prevalence in the northern area. The diagnosis requires a high index of suspicion, due to the nonspecific clinical and radiological manifestations. The CM can have diverse bronchopulmonary sequelae, as a consequence of the foci of primary pneumonia. The definitive diagnosis can’t be made based on a single characteristic, the combination of epidemiological, clinical and imaging findings allow the formulation of an adequate differential diagnosis. Isolation in cultures is the proven diagnosis method. We describe a case of pulmonary CM in an immunocompetent patient in a chronic clinical phase.


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