1
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Ticknor I, Cadavona JJ, Roby KD, Cotter DG. Disseminated cutaneous coccidioidomycosis masquerading as acne keloidalis nuchae. JAAD Case Rep 2023; 39:64-66. [PMID: 37635857 PMCID: PMC10448317 DOI: 10.1016/j.jdcr.2023.06.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023] Open
Affiliation(s)
- Iesha Ticknor
- Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California
| | - John Jay Cadavona
- Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California
| | - Keith D. Roby
- Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California
- Department of Dermatology, University of California, San Diego, San Diego, California
- Department of Dermatology, Southern California Permanente Medical Group, San Diego, California
| | - David G. Cotter
- Kirk Kekorian School of Medicine at UNLV, Las Vegas, Nevada
- Las Vegas Dermatology, Las Vegas, Nevada
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2
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Peçanha-Pietrobom PM, Tirado-Sánchez A, Gonçalves SS, Bonifaz A, Colombo AL. Diagnosis and Treatment of Pulmonary Coccidioidomycosis and Paracoccidioidomycosis. J Fungi (Basel) 2023; 9:218. [PMID: 36836333 PMCID: PMC9959547 DOI: 10.3390/jof9020218] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 01/31/2023] [Accepted: 02/02/2023] [Indexed: 02/10/2023] Open
Abstract
Coccidioidomycosis (CM) and paracoccidioidomycosis (PCM) are systemic mycoses that are highly endemic in Latin America and have recently been included on the World Health Organization (WHO) Fungal Priority Pathogens List. Coccidioides immitis and Coccidioides posadasii are recognized as etiological agents of CM, with peculiarities in their geographic distribution. The genus Paracoccidioides now includes Paracoccidioides lutzii and the Paracoccidioides brasiliensis complex, which encompasses four phylogenetic species. In both diseases, pulmonary signs and symptoms are the main reasons for patients to seek medical assistance, and they are frequently misdiagnosed as tuberculosis. In this paper, we present a critical view of the strategies for diagnosis and clinical management of CM and PCM. Over the past few decades, there has been an increase in the number of reports of endemic fungal infections in areas previously thought to be "non-endemic" due to climate change and increased travel, among other factors. Learning to recognize their main epidemiological aspects and clinical manifestations is crucial so that clinicians can include them in the differential diagnosis of lung disease and avoid late diagnosis.
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Affiliation(s)
| | - Andrés Tirado-Sánchez
- Dermatology Service & Mycology Department, Hospital General de México, “Dr. Eduardo Liceaga”, Mexico City 06726, Mexico
- Internal Medicine Department, Hospital General de Zona 29, Instituto Mexicano del Seguro Social, Mexico City 07950, Mexico
| | - Sarah Santos Gonçalves
- Department of Pathology, Infectious Diseases Postgraduate Program, Federal University of Espírito Santo (UFES), Vitoria 29043900, Brazil
| | - Alexandro Bonifaz
- Internal Medicine Department, Hospital General de Zona 29, Instituto Mexicano del Seguro Social, Mexico City 07950, Mexico
| | - Arnaldo Lopes Colombo
- Department of Medicine, Division of Infectious Diseases, Federal University of São Paulo (UNIFESP), São Paulo 04039032, Brazil
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3
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Levian B, Chen A, Adler BL. A Rapidly Enlarging Facial Abscess. JAMA Dermatol 2022; 158:1205-1206. [PMID: 36069819 DOI: 10.1001/jamadermatol.2022.3756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Brandon Levian
- Keck School of Medicine, University of Southern California, Los Angeles
| | - Alessandra Chen
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles
| | - Brandon L Adler
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles
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4
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Pandora’s Box: Disseminated Coccidioidomycosis Associated with Self-Medication with an Unregulated Potent Corticosteroid Acquired in Mexico. Trop Med Infect Dis 2021; 6:tropicalmed6040207. [PMID: 34941663 PMCID: PMC8705876 DOI: 10.3390/tropicalmed6040207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 11/03/2021] [Accepted: 11/28/2021] [Indexed: 12/21/2022] Open
Abstract
Coccidioidomycosis (CM), caused by the dimorphic fungi Coccidioides immitis and C. posadasii, typically presents as acute or chronic pulmonary disease. However, disseminated disease occurs in about 1% of patients. Disseminated CM may affect multiple organ systems, including cutaneous, osteoarticular, and central nervous system sites. Here, we present a case of disseminated CM in a patient from a border city in Texas. The patient had a history of uncontrolled diabetes mellitus and was also taking an over-the-counter medication acquired in Mexico that contained a potent corticosteroid. The patient presented with seizures and was found to have a brain infarct, cavitary lung lesions, synovitis of the knee, multiple skin lesions, and chorioretinitis. The patient had a very high complement fixation titer for Coccidioides; fungal spherules were seen in a skin biopsy specimen, and Coccidioides grew in culture from a sample of synovial fluid and the skin biopsy specimen. This case illustrates the dissemination potential of Coccidioides, the danger of unregulated pharmaceuticals, the importance of thorough history taking, and recognizing risk factors that contribute to disseminated CM.
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5
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Grewal K, Bajaj T, Petersen G, Munoz A, Froush A, Heidari A. Disseminated Coccidioidomycosis to the Gallbladder. J Investig Med High Impact Case Rep 2021; 8:2324709620910636. [PMID: 32131637 PMCID: PMC7059233 DOI: 10.1177/2324709620910636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Coccidioidomycosis is an infection caused by inhalation of arthroconidia produced
by dimorphic fungi in the genus Coccidioides. Forty percent of
patients will develop an influenza-like illness with symptoms suggestive of a
mild and self-limited respiratory infection; however, 5% of these individuals
will develop extrapulmonary disseminated disease. An immunocompromised patient
presented with right upper quadrant pain, ultrasound with pericholecystic fluid,
in which a percutaneous cholecystostomy contained biliary fluid that grew the
fungus Coccidioides immitis. Patient was initiated on
intravenous amphotericin therapy and was followed closely with postoperative
bile drainage with eventual laparoscopic cholecystectomy. We present a very rare
case of disseminated coccidioidomycosis to the gallbladder.
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6
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Chan H, Nematollahi S, Manesh R, Geha RM, Minter DJ. More Is Less. J Hosp Med 2021; 16:239-243. [PMID: 32966193 DOI: 10.12788/jhm.3488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 06/10/2020] [Indexed: 11/20/2022]
Affiliation(s)
- Hilary Chan
- Department of Medicine, University of California, San Francisco, California
| | - Saman Nematollahi
- Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Reza Manesh
- Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - Rabih M Geha
- Department of Medicine, University of California, San Francisco, California
- Medical Service, San Francisco VA Medical Center, San Francisco, California
| | - Daniel J Minter
- Department of Medicine, University of California, San Francisco, California
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7
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Arffa M, Leszczynska MA, Krishnan C, Diaz LZ. Ulcerated plaques on the hands. Pediatr Dermatol 2021; 38:e7-e9. [PMID: 33630374 DOI: 10.1111/pde.14432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Matthew Arffa
- Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, TX, USA
| | - Maria A Leszczynska
- Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, TX, USA
| | - Chandra Krishnan
- Department of Pathology, Dell Medical School, University of Texas at Austin, Austin, TX, USA.,Dell Children's Medical Center, Austin, TX, USA
| | - Lucia Z Diaz
- Division of Dermatology, Dell Medical School, University of Texas at Austin, Austin, TX, USA.,Dell Children's Medical Center, Austin, TX, USA
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8
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Reyna-Rodríguez IL, Ocampo-Candiani J, Chavez-Alvarez S. Primary Cutaneous Coccidioidomycosis: An Update. Am J Clin Dermatol 2020; 21:681-696. [PMID: 32557380 DOI: 10.1007/s40257-020-00525-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Coccidioidomycosis is an endemic mycosis of the southern United States, Northern Mexico, and South America. Primary cutaneous coccidioidomycosis, despite being a very rare clinical presentation, has shown an increasing incidence. An extensive literature search for cutaneous coccidioidomycosis cases was performed using the OLDMEDLINE, PubMed, Cochrane, LILACS and Google Scholar databases for studies published from January 1927 through December 21, 2019. Forty-two observational studies were included totaling 82 cases of primary cutaneous coccidioidomycosis. Narrative reviews, systematic reviews, and meta-analyses were also included. Additionally, an original case was included. Patients with primary cutaneous coccidioidomycosis share the same geographical and epidemiological characteristics as those with pulmonary or disseminated coccidioidomycosis. Most of the imported cases came from endemic areas. A large portion of cases had prior local skin trauma. Tissue culture is still the leading diagnostic method; nevertheless, molecular techniques such as polymerase chain reaction (PCR) are currently relevant to differentiate between species. First-line treatment consists of azoles; however, it has an excellent prognosis even without treatment. Primary cutaneous coccidioidomycosis should be considered a differential diagnosis of unusual infections or neoformations in any part of the body in resident populations of endemic areas or in patients with a previous history of travel to these areas.
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Affiliation(s)
- Irving Llibran Reyna-Rodríguez
- Dermatology Department, Facultad de Medicina y Hospital Universitario "Dr. José E. Gonzalez", Universidad Autonoma de Nuevo Leon, Nuevo Leon, Avenida Francisco I. Madero y Avenida Gonzalitos S/N, Colonia Mitras Centro, 64460, Monterrey, Mexico
| | - Jorge Ocampo-Candiani
- Dermatology Department, Facultad de Medicina y Hospital Universitario "Dr. José E. Gonzalez", Universidad Autonoma de Nuevo Leon, Nuevo Leon, Avenida Francisco I. Madero y Avenida Gonzalitos S/N, Colonia Mitras Centro, 64460, Monterrey, Mexico
| | - Sonia Chavez-Alvarez
- Dermatology Department, Facultad de Medicina y Hospital Universitario "Dr. José E. Gonzalez", Universidad Autonoma de Nuevo Leon, Nuevo Leon, Avenida Francisco I. Madero y Avenida Gonzalitos S/N, Colonia Mitras Centro, 64460, Monterrey, Mexico.
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9
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Lynch FH, Maly CJ, Unwala R, Blair JE, DiCaudo DJ, Mangold AR. Disseminated coccidioidomycosis mimicking cicatricial alopecia. JAAD Case Rep 2019; 5:957-959. [PMID: 31687463 PMCID: PMC6820251 DOI: 10.1016/j.jdcr.2019.08.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Fiona H. Lynch
- Correspondence to: Fiona H. Lynch, MB BCh BAO, 5 The Maples, Clonskeagh, D14 F821, Ireland.
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10
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Watson IT, Murzaku E. Cutaneous coccidiomycosis presenting with a facial plaque. Proc AMIA Symp 2019; 32:88-89. [PMID: 30956593 DOI: 10.1080/08998280.2018.1523643] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2018] [Revised: 09/08/2018] [Accepted: 09/11/2018] [Indexed: 10/27/2022] Open
Abstract
We present the case of a 55-year-old black man with coccidiomycosis presenting as a cutaneous plaque on the upper lip. Coccidiomycosis, or "valley fever," is caused by the virulent, dimorphic, soil-dwelling fungus Coccidiodes immitis. Seen in up to 50% of symptomatic patients, skin involvement by coccidiomycosis can present as papules, pustules, plaques, nodules, abscesses, or ulcerations. Diagnosis of coccidiomycosis relies on serology and identification in clinical specimens, and first-line treatment includes fluconazole, ketoconazole, or itraconazole. Recognizing the cutaneous manifestations of this mycotic infection is essential for diagnosis in otherwise asymptomatic patients.
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Affiliation(s)
| | - Era Murzaku
- Department of Dermatology, University of Texas Southwestern Medical CenterDallasTexas
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11
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Abstract
Coccidioidomycosis is the major systemic mycoses, considered to be 1 of the most infectious fungal diseases. In symptomatic patients, the most common manifestation is pulmonary disease, but many other organs can be affected. Disseminated disease occurs in 1%-5% of all patients affected by coccidioidomycosis and can affect any organ, with the skin, central nervous system, and musculoskeletal system being reported as the most prevalent. Here, we report a 42-year-old male farmer from the west Texas who presented with an approximately 2-month history of progressive shortness of breath and dyspnea on exertion, weight loss, and night sweats. He was treated with various antibiotics for possible upper respiratory tract infection without symptomatic improvement. Computed tomography of the chest revealed numerous subcentimeter noncalcified pulmonary nodules scattered throughout both lungs with extensive mediastinal and bilateral hilar lymphadenopathy. The patient was referred to our hospital for further evaluation of suspected metastatic lung disease. Physical examination revealed an erythematous 1.2 cm nodule on his left medial eyebrow. Skin biopsy of the lesion revealed prominent squamous epithelial hyperplasia with basal keratinocytic atypia and associated mixed inflammatory infiltrate and scattered large thick-walled spherules containing variable-sized endospores, predominantly within the multinucleated giant cells. Special stain Periodic acid-Schiff tissue culture studies confirmed these to be Coccidioides immitis. After appropriate treatment with antifungal therapy for 5.5 months, his symptoms have improved with complete disappearance of lung nodules and a partially cavitated (1.1 × 1.1 cm) lesion in the left upper lung confirmed by follow-up chest computed tomography. With this report, the authors highlight disseminated coccidioidomycosis, a great mimicker of metastatic lung disease, which was diagnosed by skin biopsy, to ensure its prompt recognition and appropriate antifungal therapy.
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12
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Shiu J, Thai M, Elsensohn AN, Nguyen NQ, Lin KY, Cassarino DS. A case series of primary cutaneous coccidioidomycosis after a record-breaking rainy season. JAAD Case Rep 2018; 4:412-414. [PMID: 29984266 PMCID: PMC6031486 DOI: 10.1016/j.jdcr.2017.11.018] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Affiliation(s)
- Jessica Shiu
- Department of Dermatology, University of California, Irvine, Irvine, California
| | - Megan Thai
- University of California, Irvine, Irvine, California
| | - Ashley N Elsensohn
- Department of Dermatology, University of California, Irvine, Irvine, California
| | - Nathalie Q Nguyen
- Department of Dermatology, Kaiser Permanente Orange County, Irvine, California
| | - Kelly Y Lin
- Department of Dermatology, Kaiser Permanente Orange County, Irvine, California
| | - David S Cassarino
- Department of Pathology, Kaiser Permanente Los Angeles, Los Angeles, California
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13
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Chao J, Culpepper KS, Kurtzman DJB. Follicular papules and pustules in a patient with pulmonary symptoms. Clin Exp Dermatol 2017; 43:336-338. [PMID: 29226980 DOI: 10.1111/ced.13317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2017] [Indexed: 11/30/2022]
Affiliation(s)
- J Chao
- Division of Dermatology, University of Arizona, Tucson, AZ, USA
| | | | - D J B Kurtzman
- Division of Dermatology, University of Arizona, Tucson, AZ, USA
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14
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Wanat KA, Dominguez AR, Carter Z, Legua P, Bustamante B, Micheletti RG. Bedside diagnostics in dermatology: Viral, bacterial, and fungal infections. J Am Acad Dermatol 2017; 77:197-218. [PMID: 28711082 DOI: 10.1016/j.jaad.2016.06.034] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2016] [Revised: 05/29/2016] [Accepted: 06/02/2016] [Indexed: 02/08/2023]
Abstract
Viral, bacterial, and fungal infections are frequently encountered in clinical practice, resulting in numerous cutaneous manifestations. Although diagnosis of these infections has changed over time because of technological advancements, such as polymerase chain reaction, bedside diagnostic techniques still play an important role in diagnosis and management, enabling rapid and low-cost diagnosis and implementation of appropriate therapies. This 2-part article will review both common and infrequent uses of bedside diagnostic techniques that dermatologists can incorporate into daily practice. This article examines the utility of bedside tests for the diagnosis of viral, bacterial, and fungal infections. The second article in this series reviews the use of bedside diagnostics for parasitic and noninfectious disorders.
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Affiliation(s)
- Karolyn A Wanat
- Department of Dermatology, Pathology, and Infectious Diseases, University of Iowa, Iowa City, Iowa
| | - Arturo R Dominguez
- Department of Dermatology, University of Texas Southwestern, Dallas, Texas; Department of Medicine, University of Texas Southwestern, Dallas, Texas
| | - Zachary Carter
- University of Texas Southwestern Medical School, Dallas, Texas
| | - Pedro Legua
- Instituto de Medicina Tropical "Alexander von Humboldt," Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Beatriz Bustamante
- Instituto de Medicina Tropical "Alexander von Humboldt," Universidad Peruana Cayetano Heredia, Lima, Peru; Departamento de Enfermedades Infecciosas, Tropicales y Dermatológicas, Hospital Cayetano Heredia, Lima, Peru
| | - Robert G Micheletti
- Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
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15
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Ocampo-Garza J, Welsh-Hernández E, Ramos-Jiménez J, Robles-Mendez JC, Martínez-Cabriales SA, Vera-Cabrera L, Gómez-Flores M, Ocampo-Candiani J, Welsh O. Botryomycosis and coccidiomycosis of the foot. Australas J Dermatol 2017; 58:239-240. [DOI: 10.1111/ajd.12519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Jorge Ocampo-Garza
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Esperanza Welsh-Hernández
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Javier Ramos-Jiménez
- Infectious Diseases Service; “Dr José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey México
| | - Juan Carlos Robles-Mendez
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Sylvia Aide Martínez-Cabriales
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Lucio Vera-Cabrera
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Minerva Gómez-Flores
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Jorge Ocampo-Candiani
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
| | - Oliverio Welsh
- Dermatology Department; “Dr. José Eleuterio González” University Hospital; Universidad Autónoma de Nuevo León; Monterrey Nuevo León México
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16
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Okon E, Kim DSL. Facial rash in a renal transplant patient. IDCases 2017; 9:95-96. [PMID: 28725565 PMCID: PMC5508495 DOI: 10.1016/j.idcr.2017.05.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2017] [Revised: 05/23/2017] [Accepted: 05/23/2017] [Indexed: 11/24/2022] Open
Affiliation(s)
- Emmanuel Okon
- Infectious Diseases Department, 2116 Craig Road, Eau Claire, WI 54701, USA.,Marshfield Clinics, 2116 Craig Road, Eau Claire, WI 54701, USA
| | - David Seung L Kim
- Pathology Department, 1000 N Oak Avenue, Marshfield, WI, USA.,Marshfield Clinics, 2116 Craig Road, Eau Claire, WI 54701, USA
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17
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Simões DM, Dial SM, Coyner KS, Schick AE, Lewis TP. Retrospective analysis of cutaneous lesions in 23 canine and 17 feline cases of coccidioidomycosis seen in Arizona, USA (2009–2015). Vet Dermatol 2016; 27:346-e87. [DOI: 10.1111/vde.12356] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Diana M. Simões
- Dermatology for Animals 106 East Campbell Avenue Campbell CA 95008 USA
| | - Sharon M. Dial
- Veterinary Diagnostic Laboratory The University of Arizona 2831 N. Freeway Road Tucson AZ 85705 USA
| | - Kimberly S. Coyner
- Dermatology Clinic for Animals 5608 South Durango Street Tacoma WA 98409 USA
| | - Anthea E. Schick
- Dermatology for Animals 22595 North Scottsdale Road #110 Scottsdale AZ 85255 USA
| | - Thomas P. Lewis
- Dermatology for Animals 86 West Juniper Avenue Gilbert AZ 85233 USA
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18
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Primary and Disseminated Cutaneous Coccidioidomycosis: Clinical Aspects and Diagnosis. CURRENT FUNGAL INFECTION REPORTS 2016. [DOI: 10.1007/s12281-016-0263-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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19
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Hung CY, Castro-Lopez N, Cole GT. Card9- and MyD88-Mediated Gamma Interferon and Nitric Oxide Production Is Essential for Resistance to Subcutaneous Coccidioides posadasii Infection. Infect Immun 2016; 84:1166-75. [PMID: 26857574 PMCID: PMC4807486 DOI: 10.1128/iai.01066-15] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Accepted: 02/02/2016] [Indexed: 02/06/2023] Open
Abstract
Coccidioidomycosis is a potentially life-threatening respiratory disease which is endemic to the southwestern United States and arid regions of Central and South America. It is responsible for approximately 150,000 infections annually in the United States alone. Almost every human organ has been reported to harbor parasitic cells of Coccidioides spp. in collective cases of the disseminated form of this mycosis. Current understanding of the mechanisms of protective immunity against lung infection has been largely derived from murine models of pulmonary coccidioidomycosis. However, little is known about the nature of the host response to Coccidioides in extrapulmonary tissue. Primary subcutaneous coccidioidal infection is rare but has been reported to result in disseminated disease. Here, we show that activation of MyD88 and Card9 signal pathways are required for resistance to Coccidioides infection following subcutaneous challenge of C57BL/6 mice, which correlates with earlier findings of the protective response to pulmonary infection. MyD88(-/-) andCard9(-/-) mice recruited reduced numbers of T cells, B cells, and neutrophils to the Coccidioides-infected hypodermis com pared to wild-type mice; however, neutrophils were dispensable for resistance to skin infection. Further studies have shown that gamma interferon (IFN-γ) production and activation of Th1 cells characterize resistance to subcutaneous infection. Furthermore, activation of a phagosomal enzyme, inducible nitric oxide synthase, which is necessary for NO production, is a requisite for fungal clearance in the hypodermis. Collectively, our data demonstrate that MyD88- and Card9-mediated IFN-γ and nitric oxide production is essential for protection against subcutaneous Coccidioides infection.
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Affiliation(s)
- Chiung-Yu Hung
- Department of Biology and South Texas Center for Emerging Infectious Diseases, University of Texas, San Antonio, Texas, USA
| | - Natalia Castro-Lopez
- Department of Biology and South Texas Center for Emerging Infectious Diseases, University of Texas, San Antonio, Texas, USA
| | - Garry T Cole
- Department of Biology and South Texas Center for Emerging Infectious Diseases, University of Texas, San Antonio, Texas, USA
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20
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Garcia Garcia SC, Salas Alanis JC, Flores MG, Gonzalez Gonzalez SE, Vera Cabrera L, Ocampo Candiani J. Coccidioidomycosis and the skin: a comprehensive review. An Bras Dermatol 2016; 90:610-9. [PMID: 26560205 PMCID: PMC4631225 DOI: 10.1590/abd1806-4841.20153805] [Citation(s) in RCA: 56] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2014] [Accepted: 07/29/2014] [Indexed: 11/25/2022] Open
Abstract
Coccidioidomycosis is a highly prevalent disease in the Western hemisphere. It is
considered one of the most virulent primary fungal infections. Coccidioides species
live in arid and semi-arid regions, causing mainly pulmonary infection through
inhalation of arthroconidia although many other organs can be affected. Primary
inoculation is rare. Since the first case of coccidioidomycosis was reported in 1892,
the skin has been identified as an important target of this disease. Knowledge of
cutaneous clinical forms of this infection is important and very useful for
establishing prompt diagnosis and treatment. The purpose of this article is to
provide a review of this infection, emphasizing its cutaneous manifestations,
diagnostic methods and current treatment.
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Affiliation(s)
| | | | - Minerva Gomez Flores
- Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | | | - Lucio Vera Cabrera
- Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Jorge Ocampo Candiani
- Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Mexico
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Common and Dangerous Skin Infections. CURRENT DERMATOLOGY REPORTS 2016. [DOI: 10.1007/s13671-016-0128-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Garza-Chapa JI, Martínez-Cabriales SA, Ocampo-Garza J, Gómez-Flores M, Ocampo-Candiani J, Welsh O. Cold subcutaneous abscesses as the first manifestation of disseminated coccidioidomycosis in an immunocompromised host. Australas J Dermatol 2015; 57:e49-52. [PMID: 26607200 DOI: 10.1111/ajd.12424] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 10/13/2015] [Indexed: 11/29/2022]
Abstract
Coccidioidomycosis is an endemic fungal infection in the southwestern USA and northern Mexico. It is caused by Coccidioides immitis and C. posadasii. This infection occurs due to the inhalation of airborne arthroconidia, causing a mild pulmonary infection, but most cases are asymptomatic. Disseminated coccidioidomycosis (DC) is a rare entity occurring in less than 1% of all cases, usually in immunocompromised patients, and it carries high risks of morbidity and mortality. The skin is one of the most frequently affected organs and in some cases cutaneous lesions may be the first or only sign of infection. A wide spectrum of clinical lesions may develop, including cold abscess. In immunocompromised hosts, DC represents a diagnostic and therapeutic challenge. Treatment is based on antifungal drugs, such as amphotericin B and azoles, administered for long periods of time and under close follow up to monitor the treatment response and to detect relapse. In the following case report, we present a 35-year-old male patient with systemic lupus erythematosus under immunosuppressive therapy who presented with cold subcutaneous abscesses as the first sign of DC.
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Affiliation(s)
- Juana Irma Garza-Chapa
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
| | - Sylvia Aide Martínez-Cabriales
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
| | - Jorge Ocampo-Garza
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
| | - Minerva Gómez-Flores
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
| | - Jorge Ocampo-Candiani
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
| | - Oliverio Welsh
- Dermatology Service, University Hospital 'Dr. José Eleuterio González', Universidad Autonóma de Nuevo León, Monterrey, México
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23
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Farber SA, Rubin AI, Micheletti RG. Disseminated coccidioidomycosis masquerading as a ruptured epidermal inclusion cyst in a healthy young adult from Philadelphia. Int J Dermatol 2015; 54:e441-2. [DOI: 10.1111/ijd.12911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 11/22/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Sara A. Farber
- Perelman School of Medicine; University of Pennsylvania; Philadelphia PA USA
| | - Adam I. Rubin
- Department of Dermatology; University of Pennsylvania; Philadelphia PA USA
| | - Robert G. Micheletti
- Department of Dermatology; Department of Medicine; University of Pennsylvania; Philadelphia PA USA
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Ocampo-Garza J, Castrejón-Pérez AD, Gonzalez-Saldivar G, Ocampo-Candiani J. Cutaneous coccidioidomycosis: a great mimicker. BMJ Case Rep 2015. [PMID: 26216930 DOI: 10.1136/bcr-2015-211680] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Jorge Ocampo-Garza
- Hospital Universitario "Dr José Eleuterio González" Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
| | - Ana Daniela Castrejón-Pérez
- Department of Dermatology, Hospital Universitario "Dr José Eleuterio González", Monterrey, Nuevo León, Mexico
| | - Gloria Gonzalez-Saldivar
- Department of Dermatology, Hospital Universitario "Dr José Eleuterio González", Monterrey, Nuevo León, Mexico
| | - Jorge Ocampo-Candiani
- Hospital Universitario "Dr José Eleuterio González" UANL, Monterrey, Nuevo León, Mexico
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Enomoto Y, Oba M, Ishii N, Nakanaga K, Yagi Y, Hasegawa H, Ozawa Y, Matsui T, Yokomura K, Suda T. Rhinosinusitis and disseminated cutaneous infection caused by Mycobacterium chelonae in an immunocompromised patient. J Infect Chemother 2015; 21:691-4. [PMID: 26025682 DOI: 10.1016/j.jiac.2015.04.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Revised: 03/20/2015] [Accepted: 04/24/2015] [Indexed: 11/28/2022]
Abstract
Mycobacterium chelonae frequently involves the skin, and the disseminated form can be observed in immunocompromised patients. In contrast, rhinosinusitis caused by the bacterium is a rare manifestation, which occurs independently of immune status. We report here a rare case of M. chelonae infection presenting as both disseminated cutaneous infection and rhinosinusitis in an immunocompromised patient. He had received systemic corticosteroids for 11 months due to cryptogenic organizing pneumonia. Before admission, he sustained injuries to his left arm and hand; those injuries succumbed to an infection that would subsequently spread to his other limbs, face, and even nasal cavities. This valuable case suggests that disseminated cutaneous infection by M. chelonae could spread to other organs.
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Affiliation(s)
- Yasunori Enomoto
- Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan; Second Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
| | - Misao Oba
- Department of Dermatology, Seirei Mikatahara General Hospital, Japan
| | - Norihisa Ishii
- Leprosy Research Center, National Institute of Infectious Diseases, Japan
| | - Kazue Nakanaga
- Leprosy Research Center, National Institute of Infectious Diseases, Japan
| | - Yuki Yagi
- Department of Otorhinolaryngology, Seirei Mikatahara General Hospital, Japan
| | - Hirotsugu Hasegawa
- Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan
| | - Yuichi Ozawa
- Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan
| | - Takashi Matsui
- Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan
| | - Koshi Yokomura
- Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan
| | - Takafumi Suda
- Second Department of Internal Medicine, Hamamatsu University School of Medicine, Japan
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Fungal Infections. Dermatopathology (Basel) 2014. [DOI: 10.1007/978-1-4471-5448-8_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Abstract
All of the endemic mycoses have cutaneous and mucocutaneous manifestations that are most commonly seen when patients have disseminated infection. Biopsy of skin lesions is simple and safe and can assist in making a timely diagnosis of disseminated infection. Primary cutaneous inoculation infection has been reported with all of the endemic mycoses, but is rare. In this situation, a nodule or ulcer occurs at the inoculation site, is often accompanied by lymphangitis and regional lymphadenopathy, and systemic symptoms and signs as almost always absent. Mucosal lesions are common with disseminated histoplasmosis, but also have been described in patients who have disseminated blastomycosis and coccidioidomycosis. Biopsy is essential to rule out cancer and allows a rapid diagnosis of the endemic fungal infection.
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Affiliation(s)
- Jeannina A Smith
- Division of Infectious Diseases, University of Wisconsin School of Medicine, 1685 Highland Avenue, Centennial Building, 5th Floor, Madison, WI, USA,
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Theodoropoulos N, Angarone M. Lip Lesion in a Solid Organ Transplant Recipient. Clin Infect Dis 2012. [DOI: 10.1093/cid/cir893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bonifaz A, Vázquez-González D, Perusquía-Ortiz AM. Endemic systemic mycoses: coccidioidomycosis, histoplasmosis, paracoccidioidomycosis and blastomycosis. J Dtsch Dermatol Ges 2011; 9:705-14; quiz 715. [PMID: 21722309 DOI: 10.1111/j.1610-0387.2011.07731.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Endemic deep or systemic mycoses are common in specific geographical areas of the world. Coccidioidomycosis is present in semi-desert areas, histoplasmosis and paracoccidioidomycosis in tropical regions and blastomycosis belongs to temperate climates. The two former are widely distributed in the American continent and some tropical regions of the world; the third is limited to Central and South America, and the last to North America and Central and East Africa. These mycoses all have a similar pathogenesis, as the inoculum enters the host through the respiratory tract. Cutaneous manifestations are secondary to lymphatic and hematogenous dissemination. These deep mycoses are exceptional in Europe. Most cases are observed in returning travelers from endemic areas, aid workers, archaeologists, speleologist and immigrants. However, there have been some autochthonous cases of histoplasmosis due to Histoplasma capsulatum var. capsulatum reported in European countries such as Italy and Germany. In this article, we provide up-to-date epidemiological, clinical, diagnostic and therapeutic data on the four most important imported systemic mycoses in Europe.
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Affiliation(s)
- Alexandro Bonifaz
- Departamento de Micología, Servicio de Dermatología, Hospital General de México, Ciudad de México
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