title: A newly diagnosed Wegener's disease as the underlying cause for a disseminated coccidioidomycosis.
abstract: In most cases coccidioidomycosis presents as a benign mildly severe respiratory disease with a benign course and spontaneous resolution. Rarely dissemination can lead to complications. We believe this is the first published case of a patient with a disseminated coccidioidomycosis, as shown on a urinary sample, in association with Wegener's disease. It was a challenge to diagnose and consecutively treat the patient as therapies seem to be conflictual. This case illustrates how migration, changing habits and attitudes, travelling, changing geo-ecological circumstances can lead to a change in medical environment. It is therefore essential that the microbiologist becomes a clinical microbiologist who communicates intensively with his fellow clinicians.
authors.affiliation: Department of Microbiology, AZ Jan Palfijn Ziekenhuis AV, Gent, Belgium. louis.ide@janpalfijngent.be
authors.forename: L
authors.initials: L
authors.lastname: Ide
authors.forename: P
authors.initials: P
authors.lastname: Thibo
mesh_terms: D001706:Biopsy; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D055815:Young Adult