Pulmonary Coccidioidomycosis Complicated by Nontuberculous Mycobacterial Pulmonary Diseases with a Literature Review

Following an endobronchial examination, a young mine supervisor was treated with antibiotics for a pulmonary nontuberculous mycobacterial infection for approximately one year. However, a review of the radiological findings revealed a different possibility. Accordingly, pulmonary resection was perfor...

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Published inJapanese Journal of Infectious Diseases Vol. 76; no. 5; pp. 314 - 318
Main Authors Ashizawa, Hiroki, Iwanaga, Naoki, Kurohama, Hirokazu, Ito, Yuya, Ashizawa, Nobuyuki, Hirayama, Tatsuro, Takeda, Kazuaki, Ide, Shotaro, Nagayoshi, Yohsuke, Tashiro, Masato, Takazono, Takahiro, Tagawa, Tsutomu, Fukushima, Kiyoyasu, Ito, Masahiro, Nakamura, Shigeki, Izumikawa, Koichi, Yanagihara, Katsunori, Miyazaki, Yoshitsugu, Mukae, Hiroshi
Format Journal Article
LanguageEnglish
Published Japan National Institute of Infectious Diseases 30.09.2023
Japan Science and Technology Agency
Subjects
Antibiotics
Coccidioidomycosis
Globalization
history taking
imported mycosis
Literature reviews
Lung diseases
nontuberculous mycobacterial pulmonary diseases
Polymerase chain reaction
Serology
Yeast
history taking
imported mycosis
Coccidioidomycosis
nontuberculous mycobacterial pulmonary diseases
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Summary:Following an endobronchial examination, a young mine supervisor was treated with antibiotics for a pulmonary nontuberculous mycobacterial infection for approximately one year. However, a review of the radiological findings revealed a different possibility. Accordingly, pulmonary resection was performed, and histopathological analysis revealed numerous yeast-like fungi. Since the patient had stayed in the southwestern United States for two months in 2009, eight years previously, coccidioidomycosis was strongly suspected. The diagnosis of coccidioidomycosis was subsequently confirmed by serology and polymerase chain reaction testing of the excised specimen. Here, we report an educational case that emphasizes the importance of meticulous medical history-taking and awareness of endemic mycoses in other countries in the context of globalization.
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ISSN:1344-6304
1884-2836
1884-2836
DOI:10.7883/yoken.JJID.2023.073