Disseminated coccidioidomycosis in a 5-year-old Sudanese boy.
A 5-year-old Sudanese boy not known to be immunodeficient and with no history of travelling developed septic shock from a disseminating coccidial infection. The diagnosis was delayed, as the eosinophilic hepatic abscess was initially thought to be secondary to schistosomiasis, which is endemic in Egypt and Sudan. A further survey about the existence of coccidial infection around the climatic area of the river Nile is warranted.
Department of Parasitology, Faculty of Medicine, Cairo University, Egypt.
Nadia A
NA
El Dib
Department of Pediatric Surgery, Faculty of Medicine, Cairo University, EgyptDepartment of Pediatrics, Faculty of Medicine, Cairo University, Egypt.
Nabil M
NM
Eldessouky
Department of Pediatric Intensive Care unit, Faculty of Medicine, Cairo University, Egypt.
Saham A
SA
El Sherbini
Department of Pediatric Intensive Care unit, Faculty of Medicine, Cairo University, Egypt.
Hala M
HM
Seleem
Department of Pediatric Intensive Care unit, Faculty of Medicine, Cairo University, Egypt heba_elgebaly@hotmail.com.
HebatAllah F
HF
Algebaly
D002675:Child, Preschool; D003045:Coccidioides / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000150:complications / Q000175:diagnosis*; D057210:Delayed Diagnosis; D019353:Endemic Diseases; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012772:Shock, Septic / Q000209:etiology*; D013397:Sudan
coccidiodomycosis; non endemic area; septic shock