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Peritoneal coccidioidomycosis: case report and review
1Division of Infectious Diseases, St. Paul's Hospital, Vancouver, British Columbia V6Z 1Y6 Canada. pphils@hivmet.ubc.ca
Summary
Coccidioidal peritonitis, a rare fungal infection, can resolve spontaneously. This study presents the first case treated with fluconazole, suggesting its potential efficacy for this extrapulmonary manifestation.
Area of Science:
- Infectious Diseases
- Mycology
- Nephrology
Background:
- Peritonitis is an uncommon extrapulmonary sign of coccidioidomycosis.
- Peritoneal involvement typically follows an indolent progression and may resolve without intervention.
Observation:
- This case report details the first instance of coccidioidal peritonitis successfully treated with fluconazole.
- The patient's condition was managed using fluconazole, a medication known for its antifungal properties.
Findings:
- Fluconazole's effectiveness in treating yeast peritonitis in dialysis patients suggests its potential utility in coccidioidal peritonitis.
- The study highlights the successful application of fluconazole in a patient with coccidioidal peritonitis.
Implications:
- This case suggests fluconazole as a potential therapeutic option for coccidioidal peritonitis.
- Further research is warranted to define optimal management strategies for this rare condition.