Coccidioidal Peritonitis: A Review of 17 Cases

Johnson, Royce H.; Sharma, Ranjana; Sharma, Rupam; Civelli, Valerie F; Narang, Vishal K; Kuran, Rasha; Goldstein, Ellie J. C.; Deresinski, Stan; Jones, Amber; Ramzan, Amin A; Posalski, Irving; El-Sayed, Dena; Thompson, George R.; D’Assumpcao, Carlos; Heidari, Arash

doi:10.1093/ofid/ofac017

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Category 4B does not require that each abnormal site on imaging studies have pathological confirmation of spread. Peritonitis may occur without clear identification of a specific intra-abdominal focus [ 24 ]. Importantly, dissemination is often recognized at a time when any prior respiratory tract symptoms have resolved.…”

Section: Clinicopathological Categories Of CMmentioning

confidence: 99%

A Clinicopathological Categorization System for Clinical Research in Coccidioidomycosis

Krogstad,

Thompson,

Heidari

et al. 2023

Open Forum Infectious Diseases

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A wide array of clinical manifestations follow infection with Coccidioides immitis or Coccidioides posadasii, ranging from asymptomatic infection to life-threatening pulmonary disease or extrapulmonary dissemination and meningitis. Epidemiological studies require consistent definitions of cases and their comparative clinical features. Understanding host and pathogen determinants of the severity of coccidioidomycosis also requires that specific clinical features (such as coccidioidal meningitis) and their overlap be precisely defined and quantified. Here we propose a system for categorization of outcomes of coccidioidomycosis in individuals who are not overtly immunocompromised that harmonizes clinical assessments during translational research of this increasingly common disease.

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Section: Clinicopathological Categories Of CMmentioning

confidence: 99%

A Clinicopathological Categorization System for Clinical Research in Coccidioidomycosis

Krogstad,

Thompson,

Heidari

et al. 2023

Open Forum Infectious Diseases

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BRASH syndrome

Williams,

Robeck

2024

Jaapa

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Coccidioidomycosis, also known as valley fever, is a fungal infection that can develop after inhalation of arthroconidia from soil. Coccidioidomycosis infections are most common in the southwestern United States and typically involve the lungs. Risk factors for extrapulmonary spread, which can be life-threatening, include older age, diabetes, HIV and AIDS, late-term pregnancy, immunosuppressant drug use and African or Filipino ancestry. This article describes incidental identification of coccidioidomycosis of the peritoneum, an extremely rare site for dissemination, during bariatric surgery in a patient without known risk factors.

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Painless Progressive Abdominal Distension in a 5-Year-Old Girl

Ximenes Braz,

Soobhanath,

Khanna

et al. 2023

Clin Pediatr (Phila)

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A 5-year-old previously healthy, fully immunized, female of Filipino descent living in central Florida, United States presented to the hospital with unintentional weight loss for 8 months and progressively worsening abdominal distension for 5 months. She was otherwise asymptomatic. She was born in Yuba City, California, and traveled throughout the Southwest United States before moving to Florida 1 year prior to the onset of symptoms. Travel history was also notable for visits to the Philippines at 15 months and 4 years of age, where she was exposed to fresh water, catfish, chickens, cats, and dogs while staying at her grandparents' catfish farm. There were no known exposures to persons with tuberculosis disease; however, her father had a history of incomplete treatment for latent tuberculosis infection 10 years prior to her presentation.On admission, she was afebrile with normal vital signs. Her physical examination revealed non-tender abdominal distension. Her pulmonary examination was unremarkable; she had no appreciable hepatosplenomegaly or palpable lymphadenopathy. On the standard growth curve, she measured at the 76th percentile for height and 60th percentile for weight. Initial laboratory evaluation showed a platelet count of 402 × 10 3 /µL (reference range, 150-400 × 10 3 /µL), C-reactive protein of 6.7 mg/L (upper limit of normal <5 mg/L), and lactate dehydrogenase of 227 U/mL (reference range, 60-200 U/mL). Abdominal ultrasound confirmed ascites with low-level internal echoes throughout and irregular, shaggy appearing projections along the liver surface. Contrast-enhanced computed tomography (CT) of the chest, abdomen, and pelvis demonstrated large-volume ascites with enhancing nodularities in the peritoneum and along the surface of the liver, spleen, bladder, pelvis, hemidiaphragms, and bowel loops (Figure 1a). There was no abdominal, pelvic, or thoracic adenopathy.

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Coccidioidal Peritonitis: A Review of 17 Cases

Cited by 3 publications

References 23 publications

A Clinicopathological Categorization System for Clinical Research in Coccidioidomycosis

A Clinicopathological Categorization System for Clinical Research in Coccidioidomycosis

BRASH syndrome

Painless Progressive Abdominal Distension in a 5-Year-Old Girl

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