title: First case of mesh infection due to Coccidioides spp. and literature review of fungal mesh infections after hernia repair.
abstract: Fungal mesh infections are a rare complication of hernia repairs with mesh. The first case of Coccidioides spp. mesh infection is described, and a systematic literature review of all known fungal mesh infections was performed. Nine cases of fungal mesh infection are reviewed. Female and male patients are equally represented, median age is 49.5 years, and critical illness and preinfection antibiotic use were common. Fungal mesh infections are rare, but potentially fatal, complications of hernias repaired with mesh.
authors: Department of Surgery, Stanford University, Stanford, CA, USA.
authors: Joseph D
authors: http://orcid.org/0000-0002-8558-6180
authors: JD
authors: Forrester
authors: Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA.
authors: Carlos A
authors: CA
authors: Gomez
authors: Department of Surgery, Stanford University, Stanford, CA, USA.
authors: Jared A
authors: JA
authors: Forrester
authors: Department of Pathology, Stanford University, Palo Alto, CA, USA.
authors: Mike
authors: M
authors: Nguyen
authors: Department of Surgery, Stanford University, Stanford, CA, USA.
authors: David
authors: D
authors: Gregg
authors: Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, CA, USA.
authors: Stan
authors: S
authors: Deresinski
authors: Clinical Microbiology Laboratory, Stanford University, Palo Alto, CA, USA.
authors: Niaz
authors: N
authors: Banaei
authors: Department of Surgery, Stanford University, Stanford, CA, USA.
authors: Thomas G
authors: TG
authors: Weiser
mesh_terms: D000225:Adenine / Q000031:analogs & derivatives; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D003045:Coccidioides / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D059685:Herniorrhaphy; D006801:Humans; D025301:Hyphae / Q000254:growth & development / Q000648:ultrastructure; D008297:Male; D008875:Middle Aged; D010880:Piperidines; D011183:Postoperative Complications / Q000188:drug therapy / Q000382:microbiology*; D011720:Pyrazoles / Q000627:therapeutic use; D011743:Pyrimidines / Q000627:therapeutic use; D013526:Surgical Mesh / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D010880:Piperidines; D011720:Pyrazoles; D011743:Pyrimidines; C551803:ibrutinib; D015725:Fluconazole; D000225:Adenine
keywords: Mesh infection; abdominal hernia; coccidioidomycosis; fungal infection