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Pulmonary coccidioidomycosis: import illness and the importance of travel history.

Authors
Type
Published Article
Journal
The Netherlands journal of medicine
Publication Date
Volume
67
Issue
10
Pages
353–355
Identifiers
PMID: 19915230
Source
Medline
License
Unknown

Abstract

A 35-year-old man presented at the outpatient department of pulmonary diseases with fever, rhinitis and coughing. He had recently been on holiday in California. Except for a body temperature of 39.7 degrees C there were no other abnormal findings at the physical examination. Chest X-ray showed a consolidation in the left upper lobe. Under antibiotic treatment his clinical condition deteriorated. Coccidioidomycosis was the suspected diagnosis and confirmed by the results of CT scanning and culture of bronchoalveolar lavage fluid. Treatment with itraconazole resulted in lasting improvement. The case stipulates the importance of travel history.

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