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Updated: Jul 3, 2026

Microbiological Rapid On-Site Evaluation for Pulmonary Infectious Diseases
Published on: March 1, 2024
Persistent pulmonary infection with an azole-resistant Coccidioides species
John D Kriesel1, Deanna A Sutton, Susan Schulman
1Department of Internal Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah, USA. john.kriesel@hsc.utah.edu
Abstract:
We report a case of a life-threatening, recurrent, and azole-resistant pulmonary coccidioidomycosis in a patient receiving long-term fluconazole therapy for a history of coccidioidal meningitis. Since this diagnosis, the patient has received weekly amphotericin B for more than four years and remains in remission with a stable serum Coccidioides complement fixation antibody titer.
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