Locally recurrent primary cutaneous coccidioidomycosis

Gayin Lee¹, Glynis A Scott^{2

3}, Sonal S Munsiff⁴, Christopher T Richardson^{2

5}

Affiliations

¹ University of Rochester School of Medicine and Dentistry, Rochester, New York.
² Department of Dermatology, University of Rochester Medical Center, Rochester, New York.
³ Department of Pathology, University of Rochester Medical Center, Rochester, New York.
⁴ Division of Infectious Disease, Department of Medicine, University of Rochester Medical Center, Rochester, New York.
⁵ Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

PMID: 34632028
PMCID: PMC8493489
DOI: 10.1016/j.jdcr.2021.08.030

Case Reports

Locally recurrent primary cutaneous coccidioidomycosis

Gayin Lee et al. JAAD Case Rep. 2021.

. 2021 Sep 8:16:161-163.

doi: 10.1016/j.jdcr.2021.08.030. eCollection 2021 Oct.

Authors

Gayin Lee¹, Glynis A Scott^{2

3}, Sonal S Munsiff⁴, Christopher T Richardson^{2

5}

Affiliations

¹ University of Rochester School of Medicine and Dentistry, Rochester, New York.
² Department of Dermatology, University of Rochester Medical Center, Rochester, New York.
³ Department of Pathology, University of Rochester Medical Center, Rochester, New York.
⁴ Division of Infectious Disease, Department of Medicine, University of Rochester Medical Center, Rochester, New York.
⁵ Division of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

PMID: 34632028
PMCID: PMC8493489
DOI: 10.1016/j.jdcr.2021.08.030

No abstract available

Keywords: Coccidioides immitis; Coccidioides posadasii; PCC; PCC, primary cutaneous coccidioidomycosis; immunosuppression; primary cutaneous coccidioidomycosis; valley fever.

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Conflict of interest statement

None disclosed.

Figures

**Fig 1**
Clinical examination revealed a 2 × 4–cm nontender rectangular violaceous plaque with a firm 1-cm central nodule on the lateral aspect of the middle portion of the left thigh.

**Fig 2**
Histologic analysis of the excisional specimen demonstrates necrotic tissue and spherules approximately 30 μm in size consistent with coccidioidomycosis. Multiple endospores were observed within the tissue (not shown). Immature spherules, with indistinct endospores, consistent with coccidioidomycosis, were also observed. (A and B, Hematoxylin-eosin stain; C, Grocott-Gomori methenamine–silver nitrate stain; original magnifications: A, × 100; B, × 400; C, × 100.)

See this image and copyright information in PMC

References

1. Reyna-Rodriguez I.L., Ocampo-Candiani J., Chavez-Alvarez S. Primary cutaneous coccidioidomycosis: an update. Am J Clin Dermatol. 2020;21(5):681–696. - PubMed
1. Russell D.H., Ager E., Wohltman W. Cutaneous coccidiomycosis masquerading as an epidermoid cyst: case report and review of the literature. Mil Med. 2017;182(1):e1665–e1668. - PubMed
1. Bennett J.E., Dolin R., Blaser M.J. 9th ed. Elsevier; 2019. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases; pp. 3190–3200.
1. Chang A., Tung R.C., McGillis T.S., Bergfeld W.F., Taylor J.S. Primary cutaneous coccidioidomycosis. J Am Acad Dermatol. 2003;49(5):944–949. - PubMed
1. Garcia Garcia S.C., Salas Alanis J.C., Flores M.G., Gonzalez Gonzalez S.E., Vera Cabrera L., Ocampo Candiani J. Coccidioidomycosis and the skin: a comprehensive review. An Bras Dermatol. 2015;90(5):610–619. - PMC - PubMed

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Locally recurrent primary cutaneous coccidioidomycosis

Affiliations

Locally recurrent primary cutaneous coccidioidomycosis

Authors

Affiliations

Conflict of interest statement

Figures

References

Publication types

LinkOut - more resources

Full Text Sources