Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review
Coccidioidomycosis is a predominantly pulmonary disease caused by species of Coccidioides, a fungus endemic to the American Southwest. Most cases involve exclusively pulmonary manifestations while less than one percent present with disseminated infection, usually with meningeal or skin involvement....
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2020/8025391 |
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| _version_ | 1832555000011685888 |
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| author | Curtis Converse Atish Dey Samuel Decker Sarkis Arabian Michael Neeki |
| author_facet | Curtis Converse Atish Dey Samuel Decker Sarkis Arabian Michael Neeki |
| author_sort | Curtis Converse |
| collection | DOAJ |
| description | Coccidioidomycosis is a predominantly pulmonary disease caused by species of Coccidioides, a fungus endemic to the American Southwest. Most cases involve exclusively pulmonary manifestations while less than one percent present with disseminated infection, usually with meningeal or skin involvement. In this case, a patient with a history of odynophagia, sore throat, productive cough, weight loss, and abnormalities on chest radiograph presented with sepsis and diabetic ketoacidosis. During admission, the patient underwent bronchoscopy with resulting tissue and bronchoalveolar lavage samples positive for Coccidioides immitis, later supported by confirmatory serum studies. This case illustrates a rare presentation of vocal fold involvement without direct invasion from a continuous site and highlights the importance of a high index of suspicion for disseminated coccidioidomycosis with prompt antifungal treatment in order to avoid the very high morbidity and mortality in such cases. |
| format | Article |
| id | doaj-art-70bfbc973d2f4318a4f943aa1832c5fa |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-70bfbc973d2f4318a4f943aa1832c5fa2025-02-03T05:49:55ZengWileyCase Reports in Critical Care2090-64202090-64392020-01-01202010.1155/2020/80253918025391Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature ReviewCurtis Converse0Atish Dey1Samuel Decker2Sarkis Arabian3Michael Neeki4Department of Internal Medicine, Arrowhead Regional Medical Center, Colton, CA, USADepartment of Internal Medicine, Arrowhead Regional Medical Center, Colton, CA, USADepartment of Emergency Medicine, Arrowhead Regional Medical Center, Colton, CA, USADepartment of Internal Medicine, Arrowhead Regional Medical Center, Colton, CA, USADepartment of Emergency Medicine, Arrowhead Regional Medical Center, Colton, CA, USACoccidioidomycosis is a predominantly pulmonary disease caused by species of Coccidioides, a fungus endemic to the American Southwest. Most cases involve exclusively pulmonary manifestations while less than one percent present with disseminated infection, usually with meningeal or skin involvement. In this case, a patient with a history of odynophagia, sore throat, productive cough, weight loss, and abnormalities on chest radiograph presented with sepsis and diabetic ketoacidosis. During admission, the patient underwent bronchoscopy with resulting tissue and bronchoalveolar lavage samples positive for Coccidioides immitis, later supported by confirmatory serum studies. This case illustrates a rare presentation of vocal fold involvement without direct invasion from a continuous site and highlights the importance of a high index of suspicion for disseminated coccidioidomycosis with prompt antifungal treatment in order to avoid the very high morbidity and mortality in such cases.http://dx.doi.org/10.1155/2020/8025391 |
| spellingShingle | Curtis Converse Atish Dey Samuel Decker Sarkis Arabian Michael Neeki Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review Case Reports in Critical Care |
| title | Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review |
| title_full | Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review |
| title_fullStr | Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review |
| title_full_unstemmed | Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review |
| title_short | Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review |
| title_sort | coccidioidomycosis of the vocal cords presenting in sepsis a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/8025391 |
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