Malik Umer, Cheema Hira, Kandikatla Ramcharitha, Ahmed Yasir, Chakrala Kalyan
Texas Tech University Health Sciences Center, Odessa, Texas, USA.
Case Rep Gastroenterol. 2017 Mar 3;11(1):114-119. doi: 10.1159/000456655. eCollection 2017 Jan-Apr.
Coccidioidomycosis (CM) is a fungal infection endemic in southwestern regions of the United States, northwestern regions of Mexico, and some areas of Brazil and Argentina. Clinical presentation varies depending on the extent of the infection and the immune status of the host. The most common presentation ranges from flu-like symptoms to self-limiting pneumonia. Extrapulmonary presentations are uncommon and may involve the meninges, skin, and bone. Gastrointestinal and peritoneal involvement is extremely rare. Here we report a case of disseminated CM presenting as carcinomatosis peritonei as an AIDS-defining illness in a young male.
球孢子菌病（CM）是一种在美国西南部地区、墨西哥西北部地区以及巴西和阿根廷部分地区流行的真菌感染。临床表现因感染程度和宿主免疫状态而异。最常见的表现从类似流感的症状到自限性肺炎不等。肺外表现不常见，可能累及脑膜、皮肤和骨骼。胃肠道和腹膜受累极为罕见。在此，我们报告一例播散性CM病例，该病例在一名年轻男性中表现为腹膜癌病，属于艾滋病界定疾病。
