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Pulmonary coccidioidomycosis.

P Batra1

  • 1Department of Radiological Sciences, University of California, Los Angeles School of Medicine 90024.

Journal of Thoracic Imaging
|September 1, 1992
PubMed
Summary
This summary is machine-generated.

Coccidioidomycosis, a fungal lung infection, often presents with asymptomatic cases and common chest radiographic findings. Severe or disseminated disease may require medical or surgical intervention.

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Area of Science:

  • Mycology
  • Pulmonology
  • Infectious Diseases

Background:

  • Coccidioidomycosis is a fungal disease endemic to the southwestern US desert.
  • Infection occurs via inhalation of arthrospores.
  • 60% of infections are asymptomatic, but radiographic abnormalities are common.

Purpose of the Study:

  • To describe the clinical and radiographic manifestations of Coccidioidomycosis.
  • To outline the spectrum of pulmonary findings in acute and chronic disease.
  • To highlight potential complications and management strategies.

Main Methods:

  • Review of clinical and radiographic findings in Coccidioidomycosis patients.
  • Analysis of common and rare presentations.
  • Discussion of disease progression and outcomes.

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Main Results:

  • Acute infection frequently shows consolidation, nodular/patchy opacities, and sometimes adenopathy or pleural effusion.
  • Chronic residual lesions include nodules, cavities, pneumonia, and fibrosis.
  • Disseminated disease, seen in 0.5% of cases, can affect any organ with miliary or reticulonodular patterns.

Conclusions:

  • Coccidioidomycosis exhibits diverse pulmonary manifestations on chest radiography.
  • While often benign, severe or disseminated forms necessitate medical and/or surgical management.
  • Radiographic findings are crucial for diagnosis and monitoring disease progression.