title: Primary cutaneous coccidiodomycosis: case report and review of the literature.
abstract: BACKGROUND
  Coccidiodomycosis is a systemic infection caused by Coccidioides immitis, a dimorphic fungus endemic in the south of the USA and the north of Mexico. The disease usually affects the lungs. Primary cutaneous infection is extremely rare. We present a report of a patient with primary cutaneous infection located on the nose. To our knowledge, such a presentation has never previously been reported in the literature.
  
  
  METHODS
  The patient had a 3-cm-diameter elevated nodule with a verrucous aspect located on the tip of her nose. The histopathologic features of the lesion were consistent with coccidioidomycosis.
  
  
  CONCLUSIONS
  To our knowledge, this is the first report of primary cutaneous coccidioidomycosis located on the tip of nose.
authors.affiliation: Department of Dermatology, Hospital Universitario de la Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Jaramillo Moreno
authors.initials: JM
authors.lastname: Gildardo
authors.forename: Velázquez Arenas
authors.initials: VA
authors.lastname: Leobardo
authors.forename: Mendez Olvera
authors.initials: MO
authors.lastname: Nora
authors.forename: Ocampo Candiani
authors.initials: OC
authors.lastname: Jorge
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D009666:Nose / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole