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Disseminated Coccidioidomycosis Presenting with Miliary Nodules  

Kim, Jung Ha (Department of Internal Medicine, College of Medicine, Korea University)
Hur, Gyu Young (Department of Internal Medicine, College of Medicine, Korea University)
Jung, Ki Hwan (Department of Internal Medicine, College of Medicine, Korea University)
Jung, Hae Chul (Department of Internal Medicine, College of Medicine, Korea University)
Park, Dae Won (Department of Internal Medicine, College of Medicine, Korea University)
Lee, Sung Yong (Department of Internal Medicine, College of Medicine, Korea University)
Lee, Sang Yeub (Department of Internal Medicine, College of Medicine, Korea University)
Kim, Je-Hyeong (Department of Internal Medicine, College of Medicine, Korea University)
Shon, Jang Uk (Department of Internal Medicine, College of Medicine, Korea University)
Shin, Chol (Department of Internal Medicine, College of Medicine, Korea University)
Shim, Jae Jeong (Department of Internal Medicine, College of Medicine, Korea University)
In, Kwang Ho (Department of Internal Medicine, College of Medicine, Korea University)
Kang, Kyung Ho (Department of Internal Medicine, College of Medicine, Korea University)
Yoo, Se Hwa (Department of Internal Medicine, College of Medicine, Korea University)
Publication Information
Tuberculosis and Respiratory Diseases / v.60, no.1, 2006 , pp. 97-101 More about this Journal
Abstract
Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis.
Keywords
Fungi; Coccidioidomycosis; Pulmonary nodules;
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