Musil Ian L, Gilbertson-Dahdal Dorothy, Elliott Sean P
Radiol Case Rep. 2015 Dec 7;3(4):237. doi: 10.2484/rcr.v3i4.237. eCollection 2008.
We report the case of a 16-year-old female with genetic immunodeficiency in whom pulmonary coccidioidomycosis became disseminated. Most infections due to Coccidioides immitis are self-limited and resolve over a period of weeks to months without specific treatment. In rare cases, especially those associated with immunodeficiency, the disease is found outside the confines of the chest cavity. In these cases, the most common site of dissemination is the skin. Defining the extent of dissemination often relies on diagnostic imaging.
我们报告了一例16岁患有遗传性免疫缺陷的女性病例，其肺部球孢子菌病发生了播散。大多数由粗球孢子菌引起的感染是自限性的，无需特殊治疗即可在数周至数月内痊愈。在罕见情况下，尤其是与免疫缺陷相关的病例，疾病会出现在胸腔范围之外。在这些病例中，最常见的播散部位是皮肤。确定播散范围通常依靠诊断性影像学检查。
