Pleural effusion in Michigan caused by Coccidioides immitis after travel to an endemic area.
Primary coccidioidal disease is rarely diagnosed in the midwest in the nonimmunocompromised host. Since coast-to-coast travel is common today, many patients may become exposed to Coccidioides immitis while traveling in endemic areas. We present a case of acute coccidioidal pleural effusion in a Michigan woman who had recently visited northeastern Arizona. Her travel history was the single most important factor in the eventual diagnosis of coccidioidal pleural effusion.
C W
CW
Hughes
P A
PA
Kvale
D001130:Arizona; D003047:Coccidioidomycosis / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008824:Michigan; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014195:Travel