• Neth J Med · Nov 2009

    Case Reports

    Pulmonary coccidioidomycosis: import illness and the importance of travel history.

    • S Indhirajanti, E Maartense, E F M Posthuma, B J M Pannekoek, and R W Vreede.
    • Department of Internal Medicine, Reinier de Graaf Gasthuis, Delft, the Netherlands. indhira@rdgg.nl
    • Neth J Med. 2009 Nov 1;67(10):353-5.

    AbstractA 35-year-old man presented at the outpatient department of pulmonary diseases with fever, rhinitis and coughing. He had recently been on holiday in California. Except for a body temperature of 39.7 degrees C there were no other abnormal findings at the physical examination. Chest X-ray showed a consolidation in the left upper lobe. Under antibiotic treatment his clinical condition deteriorated. Coccidioidomycosis was the suspected diagnosis and confirmed by the results of CT scanning and culture of bronchoalveolar lavage fluid. Treatment with itraconazole resulted in lasting improvement. The case stipulates the importance of travel history.

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