A Case of Disseminated Coccidioidomycosis Involving Lung and Skin in Patient with Diabetes Mellitus and Iatrogenic Cushings Syndrome / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 399-403, 2005.
Article
em Ko
| WPRIM
| ID: wpr-209461
Biblioteca responsável:
WPRO
ABSTRACT
Coccidioidomycosis is caused by a dimorphous fungus, Coccidioides, which consists of two species, C. immitis and C. posadasii. Although these organisms are genetically distinct and do not exchange DNA, they appear identical phenotypically and the disease or immune response to the organisms is also identical. Coccidioides grows as a mycelium in the soil and is mainly found in Southwestern United States, northwestern Mexico, and Argentina. An infection usually results from inhaling the spores of the fungus in an endemic area. Patients with a localized infection and no risk factors for complications often require only a periodic reassessment to demonstrate the resolution of the self-limited process. However, patients with extensive spread of infection or high risk of complications as a result of immunosuppression or other preexisting factors require a variety of treatment strategies such as antifungal therapy, surgical debridement, or both. Korea is not endemic area of a coccidioidomycosis. We report a case of disseminated coccidioidomycosis involving the lung and skin, which was detected incidentally after sunburn in a 69 year-old Korean male with diabetes mellitus and iatrogenic Cushings syndrome, with a review of the relevant literature.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Argentina
/
Pele
/
Solo
/
Esporos
/
Queimadura Solar
/
DNA
/
Sudoeste dos Estados Unidos
/
Inalação
/
Fatores de Risco
/
Terapia de Imunossupressão
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Argentina
/
Asia
/
Mexico
Idioma:
Ko
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2005
Tipo de documento:
Article