A 64-year-old man, resident in Arizona for 3 years, presented with a week-long history of a dry cough and 'flu-like symptoms'.
He had recently been renovating his house. A chest radiograph showed a left mid-zone opacity. Investigations for lung cancer were performed and he underwent CT-guided biopsy of the lesion. A coccidioidal fungus known to cause 'Valley Fever' was isolated. Treatment with fluconazole led to a complete recovery. This fungal infection is endemic in parts of the USA and Mexico and usually presents with respiratory symptoms. Additional complications include disseminated disease and meningitis.
Written by:
Sawant AC, Atla PR, Srivatsa SS, Chaudhry P. Are you the author?
Department of Cardiology, Hillingdon Hospital, Uxbridge, Middlesex, UK.
Reference: BMJ Case Rep. 2012 Aug 8;2012. pii: bcr2012006706.
doi: 10.1136/bcr-2012-006706
PubMed Abstract
PMID: 22879005
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