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Atypical Pleural Effusion in an Immunocompetent Patient With Valley Fever: A Case Study and Review of the Literature.

التفاصيل البيبلوغرافية
العنوان: Atypical Pleural Effusion in an Immunocompetent Patient With Valley Fever: A Case Study and Review of the Literature.
المؤلفون: Chang SS; Surgery, California Northstate University College of Medicine, Elk Grove, USA., Hsu NS; Surgery, California Northstate University College of Medicine, Elk Grove, USA., Khalil M; Surgery, California Northstate University College of Medicine, Elk Grove, USA., Micheli A; Medicine, Colusa Medical Center, Colusa, USA., Frezza E; Surgery, California Northstate University College of Medicine, Elk Grove, USA.
المصدر: Cureus [Cureus] 2024 Apr 10; Vol. 16 (4), pp. e57983. Date of Electronic Publication: 2024 Apr 10 (Print Publication: 2024).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Valley fever is a fungal infection, commonly of the lungs, caused by Coccidioides immitis or Coccidioides posadasii. This disease is endemic to the southwestern United States, Central America, and South America. Infected individuals are typically asymptomatic but may develop community-acquired pneumonia. On rare occasions, coccidioidomycosis can present with severe complications in addition to the pulmonary manifestation. In this study, a 58-year-old immunocompetent male presented to the Emergency Department with a cough, night sweats, and pleuritic chest pain. Despite the administration of broad-spectrum antimicrobials, he developed a large right pleural effusion that did not resolve following thoracentesis. Serology was positive for Coccidioides, and the patient was referred to a thoracic surgeon due to persistent effusion. It is rare for patients with coccidiomycosis to develop a large pleural effusion requiring surgical intervention, especially in immunocompetent individuals. This case highlights the importance of monitoring patients with unresolved acute pneumonia in endemic areas and considering Coccidioides as a possible etiology.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Chang et al.)
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فهرسة مساهمة: Keywords: coccidioidomycosis in immunocompetent patient; endemic mycoses; fungal empyema; fungal infection; large pleural effusion; pleural coccidioidomycosis; pulmonary coccidioidomycosis; thoracentesis in valley fever; valley fever
تواريخ الأحداث: Date Created: 20240513 Latest Revision: 20240514
رمز التحديث: 20240514
مُعرف محوري في PubMed: PMC11086003
DOI: 10.7759/cureus.57983
PMID: 38738118
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.57983