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Coccidioidomycosis.

Matthew Laffer¹, Lindsay Ackerman²

¹Macomb Center, St. John Macomb-Oakland Hospital, Warren, MI.

|March 20, 2018

Summary

A young man presented with a painful, itchy rash, pustules, and lip swelling, accompanied by flu-like symptoms and lung infiltrates. This case highlights a severe mucocutaneous reaction possibly linked to an underlying infection.

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Area of Science:

Dermatology
Infectious Diseases
Internal Medicine

Background:

A 23-year-old male experienced acute onset of dermatologic and systemic symptoms.
The patient reported prodromal symptoms including fever, fatigue, chills, myalgias, and sore throat.

Observation:

Clinical presentation included pruritic urticarial lesions and targetoid plaques on palms, trunk, and extremities.
Additional findings were pustules on the neck, and edematous lips without ulceration.
Chest X-ray revealed bilateral infiltrates, suggesting pulmonary involvement.

Findings:

The patient exhibited a severe mucocutaneous eruption.
Biopsies were obtained from the forearm and neck for histopathological examination.
The constellation of symptoms suggests a potential systemic inflammatory or infectious process.

Implications:

This case underscores the importance of considering severe mucocutaneous reactions in patients with systemic symptoms and pulmonary findings.
Early diagnosis and management are crucial for patients presenting with such complex symptomatology.
Further investigation is warranted to determine the underlying etiology and guide treatment.

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