title: Disseminated coccidioidomycosis with rapid progression to effusive-constrictive pericarditis.
abstract: This case reports coccidiomycosis presenting as pericarditis with tamponade rapidly progressing to effusive-constrictive pericarditis and death over 72 hours. Coccidiomycosis pericarditis is a rapidly progressing disease requiring early and complete pericardiectomy to avoid the hemodynamics of constriction. We illustrate the use of echocardiography in this case and demonstrate the histopathology. We review the literature and discuss therapy and management. Coccidiomycosis is often clinically unsuspected and unrecognized by the health care worker unfamiliar with the disease process.
authors.affiliation: Department of Medicine, St. Johns Cardiovascular Research Center, Torrance, CA, USA.
authors.forename: R
authors.initials: R
authors.lastname: Oudiz
authors.forename: P
authors.initials: P
authors.lastname: Mahaisavariya
authors.forename: S K
authors.initials: SK
authors.lastname: Peng
authors.forename: L
authors.initials: L
authors.lastname: Shane-Yospur
authors.forename: C
authors.initials: C
authors.lastname: Smith
authors.forename: F
authors.initials: F
authors.lastname: Baumgartner
authors.forename: S
authors.initials: S
authors.lastname: Shapiro
mesh_terms: D000328:Adult; D003047:Coccidioidomycosis / Q000150:complications* / Q000473:pathology; D018450:Disease Progression; D004452:Echocardiography; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D010494:Pericarditis, Constrictive / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology