Coccidioides immitis Cervical Lymphadenitis Complicated by Esophageal Fistula. (23rd May 2016)

• Record Type: Journal Article
• Authors: Loudin, Michael; Clayburgh, Daniel R.; Hakki, Morgan
• Other Names: Talhari Sinésio Academic Editor.
• Is Part Of: Case reports in infectious diseases. Volume 2016(2016)
• Publication Date: 2016-05-23
• Subjects: Communicable diseases -- Periodicals; Communicable diseases -- Case studies -- Periodicals; Communicable Diseases; Infectious Disease Medicine; Communicable diseases; Electronic journals; Periodicals; Case studies; Periodicals; 616.9
• DOI: 10.1155/2016/8715405
• Languages: English
• ISSNs: 2090-6625

Abstract

Abstract : Coccidioidomycosis (valley fever) is caused by the dimorphic fungi Coccidioides immitis or Coccidioides posadasii . Most infections are asymptomatic or result in self-limited pneumonia; extrapulmonary dissemination via either hematogenous or lymphatic spread is rare. Here, we present a case of cervical C. immitis lymphadenitis that resulted in fistula formation to the esophagus via mediastinal extension. This case highlights a very unusual extrapulmonary manifestation of coccidioidomycosis, the difficulty in diagnosing coccidioidal infection when it is not suspected, and the importance of obtaining a thorough exposure history to assist with diagnosis.