Lokant Matthew S, Juskowich Joy J, Lee Shu Xian, Sarwari Arif R
West Virginia University Department of Medicine, Department of Medicine, P.O. Box 9168, Morgantown, WV 26506, United States of America.
West Virginia University Department of Medicine, Sections of Hospital Medicine and Infectious Diseases, Department of Medicine, P.O. Box 9160, Morgantown, WV 26506, United States of America.
IDCases. 2021 Aug 31;26:e01268. doi: 10.1016/j.idcr.2021.e01268. eCollection 2021.
Coccidioidomycosis is a fungal disease endemic to the southwestern United States and other areas in the Western Hemisphere. Infection is usually acquired through inhalation. While infection is most often asymptomatic, early respiratory illness and infrequently extrapulmonary dissemination may occur. Immunocompromised individuals, particularly those with impaired cell-mediated immunity, are at greatest risk for dissemination. We present an atypical case of disseminated coccidioidomycosis in an immunocompetent male manifesting as peritoneal disease diagnosed during elective inguinal herniorrhaphy.
球孢子菌病是一种在美国西南部和西半球其他地区流行的真菌病。感染通常通过吸入获得。虽然感染大多无症状，但可能会出现早期呼吸道疾病，肺外播散则较为罕见。免疫功能低下的个体，尤其是细胞介导免疫受损者，发生播散的风险最高。我们报告一例免疫功能正常男性的播散性球孢子菌病非典型病例，表现为在择期腹股沟疝修补术中诊断出的腹膜疾病。
