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Coccidioidal peritonitis.

K T Chen

    American Journal of Clinical Pathology
    |October 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Asymptomatic peritoneal coccidioidomycosis, a fungal infection, can be diagnosed incidentally. Many uncomplicated cases of coccidioidal peritonitis appear to be self-limiting, potentially avoiding antifungal treatment.

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    Area of Science:

    • Infectious Diseases
    • Mycology
    • Surgical Pathology

    Background:

    • Coccidioidomycosis is a fungal infection endemic to the southwestern United States.
    • Peritoneal involvement is a rare manifestation of disseminated coccidioidomycosis.

    Observation:

    • Two cases of asymptomatic peritoneal coccidioidomycosis were diagnosed incidentally during herniorrhaphy.
    • One patient presented with concurrent chest wall involvement.

    Findings:

    • The patient without systemic antifungal therapy remained well one year post-diagnosis.
    • The second patient treated with amphotericin B was asymptomatic six months later.
    • Review of prior cases suggests uncomplicated coccidioidal peritonitis is often self-limited.

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    Implications:

    • These findings suggest that asymptomatic peritoneal coccidioidomycosis may not always require aggressive antifungal treatment.
    • Incidental diagnosis during unrelated surgeries can lead to timely management.
    • Further research into the natural history and optimal management of peritoneal coccidioidomycosis is warranted.