Centro Especializado em Micologia Médica, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Mem Inst Oswaldo Cruz. 2012 Sep;107(6):813-5. doi: 10.1590/s0074-02762012000600017.
Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in which an initial diagnosis of bacterial pneumonia was later confirmed as coccidioidomycosis caused by Coccidioides posadasii. Thus, this mycosis should be considered as an alternative diagnosis in patients reporting symptoms of pneumonia, even if these symptoms are only presented for a short period, who are from areas considered endemic for this disease.
球孢子菌病是一种全身性真菌病，临床表现多样。将球孢子菌病误诊为细菌性肺炎会导致抗生素使用不当和诊断延误。本报告描述了巴西东北部犰狳猎人间的一次暴发疫情，最初诊断为细菌性肺炎，后被确认为由波萨达斯球孢子菌引起的球孢子菌病。因此，对于来自该病流行地区、有肺炎症状（即使仅短暂出现）的患者，应考虑将这种真菌病作为一种替代诊断。
