title: [Coccidioidomycosis with manifestation on the tongue].
abstract: Systemic mycoses are rare but important differential diagnoses in patients with imported infections. We report the case of a 51-year-old German traveller who acquired coccidioidomycosis during a holiday in Arizona, USA. The disease became apparent several months later primarily as a swelling of the tongue. Subsequent diagnostic investigations revealed infiltration of both lungs. The causal agent Coccidioides posadasii could be cultivated from transbronchial biopsy samples.
authors.affiliation: Tropenmedizinische Abteilung, Missionsärztliche Klinik Würzburg, Salvatorstr. 7, 97074, Würzburg, Deutschland, stich@missioklinik.de.
authors.forename: A
authors.initials: A
authors.lastname: Stich
authors.forename: A
authors.initials: A
authors.lastname: Müller
authors.forename: K
authors.initials: K
authors.lastname: Tintelnot
mesh_terms: D001706:Biopsy; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D001999:Bronchoscopy; D003044:Coccidia / Q000145:classification / Q000302:isolation & purification; D003047:Coccidioidomycosis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008168:Lung / Q000382:microbiology / Q000473:pathology; D008172:Lung Diseases, Fungal / Q000188:drug therapy / Q000473:pathology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014059:Tongue / Q000382:microbiology / Q000473:pathology*
chemical_list: D017964:Itraconazole
references.citation: Rev Iberoam Micol. 1999 Jun;16(2):111-3
references.pmid: 18473580
references.citation: Heart Lung. 2005 May-Jun;34(3):217-21
references.pmid: 16015227
references.citation: An Bras Dermatol. 2010 Jan-Feb;85(1):45-51
references.pmid: 20464086
references.citation: Mycopathologia. 2006 Nov;162(5):317-24
references.pmid: 17123029
references.citation: Arch Pathol Lab Med. 2005 Jan;129(1):e4-6
references.pmid: 15628927
references.citation: Emerg Infect Dis. 2006 Jun;12(6):958-62
references.pmid: 16707052
references.citation: Clin Infect Dis. 2005 Nov 1;41(9):1217-23
references.pmid: 16206093
references.citation: Clin Infect Dis. 2013 Jun;56(11):1573-8
references.pmid: 23463636