Coccidioidomycosis presenting as liver abscess.
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.
Thomas
S
S
Department of Surgery, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi. drshajithomas@yahoo.com
Basu
S
S
Dutta
R
R
Chibeer
P
P
Andley
M
M
Kumar
A
A
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
D000935:Antifungal Agents; D000666:Amphotericin B