title: Initial presentation of coccidioidomycosis during inguinal herniorrhaphy.
abstract: Coccidioidomycosis is a fungal infection endemic to the desert regions of the southwestern United States. Pulmonary symptoms predominate and are usually mild and self-limited. Dissemination is rare in the immunocompetent host. We present a case of disseminated, peritoneal coccidioidomycosis diagnosed during routine inguinal herniorrhaphy in an adult male. The current literature is summarized, and management recommendations are suggested.
authors.affiliation: Department of Surgery, UCLA School of Medicine, Los Angeles, California, USA. tbc2001@med.cornell.edu
authors.forename: Terry L
authors.initials: TL
authors.lastname: Buchmiller-Crair
mesh_terms: D000328:Adult; D001706:Biopsy; D003047:Coccidioidomycosis / Q000150:complications / Q000473:pathology*; D006552:Hernia, Inguinal / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D010537:Peritoneum / Q000473:pathology*; D013514:Surgical Procedures, Operative / Q000379:methods