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Case Reports
. 2024 Sep 13:46:100668.
doi: 10.1016/j.mmcr.2024.100668. eCollection 2024 Dec.

Miliary coccidioidomycosis mimicking tuberculosis: Case report and review of literature

Oscar E Gallardo-Huizar  1 , Joyce Lee  2 , Kailyn Kim  1 , Arthur C Jeng  3
Affiliations
Case Reports

Miliary coccidioidomycosis mimicking tuberculosis: Case report and review of literature

Oscar E Gallardo-Huizar et al. Med Mycol Case Rep. .

Abstract

Miliary coccidioidomycosis is a severe manifestation of diseases caused by Coccidioides immitis and Coccidioides posadasii that is endemic to the southwestern United States as well as Central and South America. While most cases of coccidioidomycosis present with pulmonary disease, certain risk factors increase the risk for disseminated disease. We present a case of miliary coccidioidomycosis in a 46-year-old patient with uncontrolled diabetes. Additionally, we review the features of thirty-seven cases of patients with miliary coccidioidomycosis.

Keywords: Coccidioidomycosis; Immunoglobulin G (IgG) and Immunoglobulin M (IgM); Latent tuberculosis infection (LTBI); Miliary coccidioidomycosis; Tuberculosis (TB).

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Figures

Figure A
Figure A
Miliary pattern in the lungs with airspace disease in the left upper lung zone.
Figure B
Figure B
diffuse bronchocentric-prominent nodularity and left upper lobe fibro-cavitary disease.
See this image and copyright information in PMC

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