Diabetic ketoacidosis associated with pulmonary coccidioidomycosis.
We describe three patients who developed diabetic ketoacidosis in association with pulmonary coccidioidomycosis and review the literature concerning the influence of diabetes on coccidioidomycosis. Our cases demonstrate that coccidioidomycosis is an infection that can be associated with diabetic ketoacidosis and that should be considered in the differential diagnosis of pneumonia in patients who live in a region in which Coccidioides immitis is endemic.
Westphal
S A
SA
Department of Medicine, Maricopa Medical Center, Phoenix, Arizona 85008.
Sarosi
G A
GA
D000328:Adult; D003045:Coccidioides; D003047:Coccidioidomycosis / Q000150:complications* / Q000000981:diagnostic imaging; D016883:Diabetic Ketoacidosis / Q000150:complications* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D013183:Sputum / Q000382:microbiology; D014953:Wrist / Q000000981:diagnostic imaging