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Related Experiment Videos

Initial presentation of coccidioidomycosis during inguinal herniorrhaphy.

Terry L Buchmiller-Crair1

  • 1Department of Surgery, UCLA School of Medicine, Los Angeles, California, USA. tbc2001@med.cornell.edu

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|June 24, 2003
PubMed
Summary

Coccidioidomycosis, a fungal infection, rarely disseminates in healthy individuals. This case highlights disseminated peritoneal coccidioidomycosis discovered during hernia surgery, emphasizing the need for awareness.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Coccidioidomycosis is a fungal infection endemic to the southwestern US deserts.
  • Pulmonary symptoms are most common and typically mild.
  • Dissemination in immunocompetent hosts is infrequent.

Observation:

  • A case of disseminated, peritoneal coccidioidomycosis is presented.
  • Diagnosis occurred during a routine inguinal herniorrhaphy in an adult male.
  • This presentation is unusual for coccidioidomycosis.

Findings:

  • The patient presented with disseminated peritoneal coccidioidomycosis.
  • The diagnosis was incidental during surgical repair.
  • This highlights a rare manifestation of the infection.

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Implications:

  • This case underscores the importance of considering coccidioidomycosis in endemic areas, even with unusual presentations.
  • It suggests that disseminated disease can occur in immunocompetent individuals.
  • Further research into risk factors and diagnostic challenges for peritoneal coccidioidomycosis is warranted.