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Published on: November 3, 2009
Coccidoidouria: clinical significance
Annals of Internal Medicine
|July 1, 1976
Summary
Coccidioides immitis in urine indicates urinary tract coccidioidomycosis, often seen in immunocompromised patients. Early detection and understanding infection sites are crucial for managing this fungal disease.
Area of Science:
- Mycology
- Infectious Diseases
- Urology
Background:
- Coccidioidomycosis is a fungal infection primarily affecting the lungs.
- Urinary tract involvement is a less common but significant manifestation.
- Impaired host defense mechanisms increase susceptibility to disseminated fungal infections.
Purpose of the Study:
- To investigate the prevalence and characteristics of Coccidioides immitis in urine cultures.
- To determine the clinical presentation and sites of infection in patients with urinary tract coccidioidomycosis.
- To assess the role of host defense impairment in the development of this condition.
Main Methods:
- Retrospective analysis of urine cultures from patients with positive Coccidioides immitis results.
- Clinical data review including patient history, immune status, and diagnostic findings.
- Microscopic examination and colony counts of C. immitis in urine and prostatic secretions.
Main Results:
- Twelve patients had urine cultures positive for Coccidioides immitis.
- Eight patients had impaired host defense mechanisms.
- Urinary tract infection sites included upper tract, lower tract (prostate, epididymis), or both.
Conclusions:
- Urine culture is a valuable tool for diagnosing urinary tract coccidioidomycosis.
- Patients with Coccidioides immitis in urine often have disseminated disease or compromised immunity.
- Understanding the specific sites of urinary tract involvement is essential for effective treatment.
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