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Coccidioidomycosis in Hungary. The first import case
1Semmelweis University of Medicine, Frist Institute of Pathology and Experimental Cancer Research, Budapest, Hungary. zalatnai@korb1.sote.hu
Pathology Oncology Research : POR
|July 9, 1998
Summary
A rare case of subcutaneous coccidioidomycosis, a fungal infection, was identified in a Hungarian patient. This imported case highlights the importance of considering coccidioidomycosis in individuals with relevant travel history.
Area of Science:
- Mycology
- Infectious Diseases
- Dermatology
Background:
- Coccidioidomycosis is a fungal infection endemic to the southwestern United States.
- Subcutaneous coccidioidomycosis is a rare form of the disease, typically presenting as a localized infection.
- Imported cases are uncommon, posing diagnostic challenges in non-endemic regions.
Purpose of the Study:
- To report a unique case of isolated subcutaneous coccidioidomycosis in a patient residing in Hungary.
- To emphasize the diagnostic considerations for coccidioidomycosis in non-endemic areas.
- To highlight the first documented imported case of coccidioidomycosis in Hungary.
Main Methods:
- Clinical presentation of a painless, cavitating, tumor-like mass.
- Surgical excision of the affected tissue.
- Histological examination for fungal elements.
- Confirmation using serum counterimmunoelectrophoresis.
Main Results:
- Diagnosis of subcutaneous coccidioidomycosis confirmed through histology and serology.
- The patient had a prior 3-year history of living and working in Arizona.
- No apparent clinical signs of disease were noted during the patient's time in Arizona.
Conclusions:
- This case represents the first imported instance of coccidioidomycosis in Hungary.
- Isolated subcutaneous coccidioidomycosis can occur in individuals with remote exposure to endemic areas.
- Diagnostic vigilance is crucial for identifying coccidioidomycosis in non-endemic settings.