Coccidioidal Hepatic Abscess in a Patient With Disseminated Coccidioidomycosis: A Case Report

Abstract

Coccidioidomycosis is an infection caused by inhalation of arthroconidia of Coccidioides. Forty percent of patients will develop mild and self-limited respiratory infection, and a small fraction of these individuals will develop extrapulmonary disseminated disease. This is the case of a patient with a known history of disseminated coccidioidomycosis, who initially presented for symptoms of persistent pneumonia. On evaluation, the patient was found to have a hepatic abscess for which he underwent percutaneous drainage. Culture grew Coccidioides immitis, and the patient was treated with systemic antifungal. This is a rare case of disseminated coccidioidomycosis in the liver.

A Case of Thyroidal Coccidioidal Infection

“…In only 1 to 5% of cases it disseminates to almost any organ system. 1 , 2 Recognized risk factors for the extrapulmonary disease include extremes of age, African or Filipino ancestry, pregnancy, and immunosuppression. 2 …”

“…In only 1 to 5% of cases it disseminates to almost any organ system. 1,2 Recognized risk factors for the extrapulmonary disease include extremes of age, African or Filipino ancestry, pregnancy, and immunosuppression. 2 It is a well-established fact of thyroid gland to be resistant to infections due to rich lymphatic and vascular supply, welldeveloped capsule, and high iodine content.…”