Coccidioidomycosis presenting years after returning from travel

Koos Korsten; Josje Altenburg; Marieke Gittelbauer; Peter van Hengel; Rogier Jansen; Karin van Dijk

doi:https://doi.org/10.1016/j.mmcr.2023.100623

Coccidioidomycosis presenting years after returning from travel

Koos Korsten, Josje Altenburg, Marieke Gittelbauer, Peter van Hengel, Rogier Jansen, Karin van Dijk

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

After having traveled to California in 2017, a 26-year old Dutch man presented in 2020 with persisting cough and shortness of breath. Radiology showed cystic bronchiectasis with peri-bronchial consolidation in his right upper lobe. Laboratory studies in August 2021 showed an increased total IgE, specific Aspergillus IgE, eosinophilia and positive BAL culture for Coccidioides immitis/posadasii. After 6 weeks of itraconazole treatment for suspected allergic bronchopulmonary aspergillosis, symptoms persisted and respiratory cultures remained positive. The infection was cleared after a 6-month course of fluconazole.

Original language	English
Article number	100623
Journal	MEDICAL MYCOLOGY CASE REPORTS
Volume	43
DOIs	https://doi.org/10.1016/j.mmcr.2023.100623
Publication status	Published - 1 Mar 2024

Keywords

Coccidioidomycosis
Microbiology
Mycology
Pulmonary

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https://doi.org/10.1016/j.mmcr.2023.100623

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title = "Coccidioidomycosis presenting years after returning from travel",

abstract = "After having traveled to California in 2017, a 26-year old Dutch man presented in 2020 with persisting cough and shortness of breath. Radiology showed cystic bronchiectasis with peri-bronchial consolidation in his right upper lobe. Laboratory studies in August 2021 showed an increased total IgE, specific Aspergillus IgE, eosinophilia and positive BAL culture for Coccidioides immitis/posadasii. After 6 weeks of itraconazole treatment for suspected allergic bronchopulmonary aspergillosis, symptoms persisted and respiratory cultures remained positive. The infection was cleared after a 6-month course of fluconazole.",

keywords = "Coccidioidomycosis, Microbiology, Mycology, Pulmonary",

author = "Koos Korsten and Josje Altenburg and Marieke Gittelbauer and {van Hengel}, Peter and Rogier Jansen and {van Dijk}, Karin",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

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doi = "https://doi.org/10.1016/j.mmcr.2023.100623",

language = "English",

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T1 - Coccidioidomycosis presenting years after returning from travel

AU - Korsten, Koos

AU - Altenburg, Josje

AU - Gittelbauer, Marieke

AU - van Hengel, Peter

AU - Jansen, Rogier

AU - van Dijk, Karin

PY - 2024/3/1

Y1 - 2024/3/1

N2 - After having traveled to California in 2017, a 26-year old Dutch man presented in 2020 with persisting cough and shortness of breath. Radiology showed cystic bronchiectasis with peri-bronchial consolidation in his right upper lobe. Laboratory studies in August 2021 showed an increased total IgE, specific Aspergillus IgE, eosinophilia and positive BAL culture for Coccidioides immitis/posadasii. After 6 weeks of itraconazole treatment for suspected allergic bronchopulmonary aspergillosis, symptoms persisted and respiratory cultures remained positive. The infection was cleared after a 6-month course of fluconazole.

AB - After having traveled to California in 2017, a 26-year old Dutch man presented in 2020 with persisting cough and shortness of breath. Radiology showed cystic bronchiectasis with peri-bronchial consolidation in his right upper lobe. Laboratory studies in August 2021 showed an increased total IgE, specific Aspergillus IgE, eosinophilia and positive BAL culture for Coccidioides immitis/posadasii. After 6 weeks of itraconazole treatment for suspected allergic bronchopulmonary aspergillosis, symptoms persisted and respiratory cultures remained positive. The infection was cleared after a 6-month course of fluconazole.

KW - Coccidioidomycosis

KW - Microbiology

KW - Mycology

KW - Pulmonary

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DO - https://doi.org/10.1016/j.mmcr.2023.100623

M3 - Article

C2 - 38283388

SN - 2211-7539

VL - 43

JO - MEDICAL MYCOLOGY CASE REPORTS

JF - MEDICAL MYCOLOGY CASE REPORTS

M1 - 100623

ER -

Coccidioidomycosis presenting years after returning from travel

Abstract

Keywords

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