Downie Beatrice Anne Marie, Rosser Gareth, Atkin Catherine Mary, Dubrey Simon William
Department of Cardiology, Hillingdon Hospital, Uxbridge, Middlesex, UK.
BMJ Case Rep. 2012 Aug 8;2012:bcr2012006706. doi: 10.1136/bcr-2012-006706.
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.
一名64岁男性，已在亚利桑那州居住3年，出现了为期一周的干咳和“流感样”症状。他最近一直在翻修自己的房子。胸部X光片显示左中区有不透明阴影。对肺癌进行了检查，他接受了该病变的CT引导下活检。分离出一种已知会引起“山谷热”的球孢子菌。氟康唑治疗使他完全康复。这种真菌感染在美国和墨西哥的部分地区为地方病，通常表现为呼吸道症状。其他并发症包括播散性疾病和脑膜炎。
