Abe Takashi, Yamaguchi Fumihiro, Sakakura Shunsuke, Shiratori Yo, Mase Ayaka, Funaki Toshitaka, Kamio Yoshito, Suzuki Takashi, Shikama Yusuke, Hoshino Yasutaka
Department of Respiratory Medicine, Showa University Fujigaoka Hospital, Yokohama, Japan.
Departments of Thoracic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Infect Drug Resist. 2023 May 8;16:2787-2791. doi: 10.2147/IDR.S401752. eCollection 2023.
Coccidioidomycosis is an endemic disease that is particularly prevalent in the United States. However, its geographic distribution is becoming widespread. Here, we present a Japanese male who resided in the United States for 1 year, where he was diagnosed with pulmonary coccidioidomycosis that was accompanied by cavity formation. He did not tolerate antifungal therapy and consequently underwent partial resection of the upper lobe of his left lung upon his return to Japan. The patient's symptoms improved after surgery. The trend toward global networking and logistics means that a diagnosis of coccidioidomycosis should be considered in routine practice in nonendemic areas. Due to the rarity of surgical treatment for this disease, prolonged follow-up is necessary. During the last follow-up, the patient was symptom-free.
球孢子菌病是一种在美国特别流行的地方病。然而，其地理分布正变得广泛。在此，我们报告一名居住在美国1年的日本男性，他在那里被诊断为伴有空洞形成的肺球孢子菌病。他无法耐受抗真菌治疗，因此回到日本后接受了左肺上叶部分切除术。术后患者症状改善。全球网络和物流的发展趋势意味着在非流行地区的常规医疗实践中应考虑球孢子菌病的诊断。由于这种疾病的手术治疗罕见，因此需要长期随访。在最后一次随访时，患者无症状。
