[Cutaneous coccidioidomycoses: Six Mexican cases report]
Summary
Coccidioidomycosis, a fungal infection, can spread from the lungs to the skin. This study details six cases in Mexico, highlighting varied skin manifestations and the importance of clinical suspicion for diagnosis.
Area of Science:
- Mycology
- Infectious Diseases
- Dermatology
Background:
- Coccidioidomycosis is a systemic airborne fungal infection caused by Coccidioides immitis and Coccidioides posadasii.
- While C. immitis is found in California, C. posadasii is globally distributed.
- Primary cutaneous coccidioidomycosis is an uncommon presentation.
Observation:
- This study reports on six male patients from Tijuana, Mexico, with coccidioidomycosis.
- Three patients presented with primary pulmonary infection followed by cutaneous dissemination.
- Three patients had primary cutaneous coccidioidomycosis.
Findings:
- Coccidioides posadasii was isolated in 50% of the cases.
- Cutaneous manifestations of coccidioidomycosis are diverse.
- Lesions are more severe in cases with systemic dissemination.
Implications:
- Clinical suspicion is crucial for diagnosing coccidioidomycosis, especially with varied skin presentations.
- Understanding the geographic distribution of Coccidioides species is important for diagnosis.
- Prompt diagnosis and management are essential, particularly when systemic dissemination occurs.
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