Atypical coccidioidomycosis in an AIDS patient successfully treated with fluconazole.
Cervical lymphadenopathy due to Coccidioides immitis occurred as the sole opportunistic infection in a Spanish patient with the acquired immunodeficiency syndrome. Twelve years earlier the patient had lived in the desert regions of the southwestern USA. After an initial course of high doses of fluconazole, the patient recovered without any sequelae. This is the first case of coccidioidomycosis in Spain.
Hernández
J L
JL
Department of Internal Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain.
Echevarría
S
S
García-Valtuille
A
A
Mazorra
F
F
Salesa
R
R
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D000328:Adult; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001706:Biopsy; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D004305:Dose-Response Relationship, Drug; D015725:Fluconazole / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008199:Lymphadenitis / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology; D008297:Male; D009333:Neck; D014195:Travel; D014481:United States
D000935:Antifungal Agents; D015725:Fluconazole