Pelvic coccidioidomycosis

Pelvic inflammatory disease due to Coccidioides immitis is rare. However, female patients with disseminated coccidioidomycosis may have unrecognized pelvic involvement as pelvic examinations are frequently not performed. Inappropriate and inadequate therapy of pelvic coccidioidomycosis may very well contribute to the demise of such patients. The diagnosis must also be suspected in patients with pelvic abscesses which do not respond to antibiotic therapy and conventional surgery. Extirpative surgery, in addition to amphotericin B, is frequently necessary to eradicate the disease. A patient is reported whose course illustrates these conclusions.