Coccidioidomycosis of the uterus

We have described a case of coccidioidomycosis of the endometrium in a postpartum woman, living in a nonendemic area, who presented with vaginal bleeding. Diagnosis was made by demonstration of spherules in the endometrial biopsy and culture of the tissue. Eight cases of coccidioidomycosis involving the female genital tract have been reported so far. Of these, three patients died of dissemination.