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Related Experiment Videos

Pelvic coccidioidomycosis

P Parker, L L Adcock

    Obstetrical & Gynecological Survey
    |May 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Pelvic inflammatory disease caused by Coccidioides immitis is rare but can be fatal if untreated. Early diagnosis and aggressive treatment including surgery and amphotericin B are crucial for Coccidioides pelvic infection.

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    Area of Science:

    • Mycology
    • Infectious Diseases
    • Gynecologic Pathology

    Background:

    • Pelvic inflammatory disease (PID) is uncommon with Coccidioides immitis.
    • Disseminated coccidioidomycosis in women may involve the pelvis without clear diagnosis.
    • Inadequate treatment of pelvic coccidioidomycosis can lead to mortality.

    Observation:

    • Pelvic examinations are often omitted in disseminated coccidioidomycosis cases.
    • Pelvic abscesses unresponsive to antibiotics and surgery warrant suspicion of fungal infection.
    • A case report illustrates the diagnostic and therapeutic challenges.

    Findings:

    • Coccidioides immitis can cause pelvic inflammatory disease.
    • Pelvic coccidioidomycosis requires high clinical suspicion, especially in non-responsive abscesses.

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  • Aggressive treatment is necessary for eradication.

    • Implications:

    • Timely diagnosis and intervention are critical for patient survival.
    • Combined surgical extirpation and antifungal therapy (amphotericin B) are often required.
    • Increased awareness can improve outcomes for patients with disseminated fungal infections.