title: Coccidioidomycosis masquerading as skeletal tuberculosis: an imported case and review of coccidioidomycosis in India.
abstract: We describe a possible imported case of osteo-articular coccidioidomycosis in India. Culture of the computed tomography-guided aspirate revealed the growth of Coccidioides spp., which was identified as Coccidioides posadasii by sequencing of the internal transcribed spacer (ITS) region of rDNA. He was successfully treated with amphotericin B followed by itraconazole. All the previous published reports of coccidioidomycosis cases diagnosed in India are also reviewed in order to increase the awareness of this disease in non-endemic areas.
authors.affiliation: Doctor, Department of Microbiology, VMMC and Safdarjung Hospital, New Delhi, India.
authors.forename: Malini R
authors.initials: MR
authors.lastname: Capoor
authors.forename: Bishwaroop
authors.initials: B
authors.lastname: Sen
authors.forename: Parul
authors.initials: P
authors.lastname: Varshney
authors.forename: Mathew
authors.initials: M
authors.lastname: Verghese
authors.forename: M R
authors.initials: MR
authors.lastname: Shivaprakash
authors.forename: Arunaloke
authors.initials: A
authors.lastname: Chakrabarti
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle; D003045:Coccidioides / Q000145:classification / Q000235:genetics* / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D003937:Diagnosis, Differential; D006801:Humans; D007194:India; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014376:Tuberculosis
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B
keywords: Coccidioidomycosis; India; imported case