Disseminated Coccidioidomycosis Presenting with Miliary Nodules

Abstract

Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis. (Tuberc Respir Dis 2006; 60: 97-101)

Acute Pulmonary Coccidioidomycosis and Review of Published Cases with Lung Involvement in Korea

“…The pulmonary involvement of coccidioidomycosis was 9 cases, and 3 of them were acute symptomatic disease (Table 1). Most of their chief complaint was fever, and radiologic findings of lung were nodules, consolidation, and effusion [8][9][10][11][12][13][14][15][16].…”