title: Female genital coccidioidomycosis.
abstract: Three cases of coccidioidomycosis of the female genital tract are reviewed. The diagnosis was made by laparotomy in 2 patients who presented with tender adnexal masses, and by endometrical curettage in a third patient with disseminated coccidioidomycosis. Hysterectomies were performed in all 3 patients; 1 had a bilateral salpingo-oophorectomy and the others a bilteral salpingectomy and unilateral oophorectomy. Two patients received chemotherapy with amphotericin B. One patient died 4 years after her operation from disseminated and meningeal coccidioidomycosis. In a female patient who has resided in an endemic region and who presents with pelvic pain of obscure origin, unexplained infertility, a menstrual disorder, or a chronic, refractory pelvic inflammatory disease, genital coccidioidomycosis should be considered in the differential diagnosis.
mesh_terms: D000293:Adolescent; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D003047:Coccidioidomycosis / Q000473:pathology; D003475:Curettage; D048909:Diabetes Complications; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000209:etiology* / Q000473:pathology; D005836:Genitalia, Female / Q000473:pathology; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D010053:Ovary / Q000601:surgery
chemical_list: D000666:Amphotericin B