title: [Treatment failure in community-acquired pneumonia: coccidioidomycosis in a traveler patient].
abstract: Treatment failure in community-acquired pneumonia is defined as a clinical condition with inadequate response to antimicrobial therapy. Resistant and unusual microorganisms and noninfectious causes are responsible for treatment failure. Coccidioides immitis is a fungus that causes pneumonia in the northern hemisphere, especially in the United States and northern Mexico. We report a case of pulmonary coccidioidomycosis imported from Mexico to Chile. After a comprehensive study, histopathology was able to establish Coccidiodes immitis as the causative agent, achieving clinical and radiological improvement with antifungal therapy.
authors: Hernán
authors: H
authors: Cabello
authors: Gonzalo
authors: G
authors: Labarca
authors: Sebastián
authors: S
authors: Fernández-Bussy
authors: Francisca
authors: F
authors: Cabello
authors: Yumay
authors: Y
authors: Pires
authors: Rodrigo
authors: R
authors: Soto
authors: Luis
authors: L
authors: Thompson
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002677:Chile; D003047:Coccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D008800:Mexico; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis; D014195:Travel; D017211:Treatment Failure
chemical_list: D000935:Antifungal Agents