title: Coccidioidomycosis presenting as liver abscess.
abstract: A 26-year-old man presented with pain in the right upper abdomen. Ultrasonography revealed a large solitary right lobe liver abscess, which was treated by aspiration and antiamebic treatment. The patient continued to be symptomatic with the abscess increasing in size. Repeat aspiration revealed a pure growth of coccidioidomycosis, which was confirmed on culture. He was treated with amphotericin-B; the abscess resolved completely and the patient has remained asymptomatic at one-year follow up.
authors.affiliation: Department of Surgery, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi. drshajithomas@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Thomas
authors.forename: S
authors.initials: S
authors.lastname: Basu
authors.forename: R
authors.initials: R
authors.lastname: Dutta
authors.forename: P
authors.initials: P
authors.lastname: Chibeer
authors.forename: M
authors.initials: M
authors.lastname: Andley
authors.forename: A
authors.initials: A
authors.lastname: Kumar
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use*; D000935:Antifungal Agents / Q000627:therapeutic use*; D003047:Coccidioidomycosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology*; D008297:Male; D014463:Ultrasonography
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B