Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases
-
Kansenshogaku Zasshi · Jun 2004
Case Reports[A case of pulmonary coccidioidomycosis presented with bilateral infiltrative opacities and eosinophilia].
A 53-year-old male was admitted to our hospital complaining of high fever with chillness, cough and dyspnea after traveling to Arizona in the United States. The chest X-ray films taken on admission showed consolidation in the right middle lung field and bilateral nodular shadows. The laboratory data revealed an increase in white blood cell counts with eosinophilia, and a rise in erythrocyte sediment rate and serum C-reactive protein. ⋯ In addition, typical spherules filled with endopores were detected in the specimen. The diagnosis of primary pulmonary coccidioidomycosis was made. After the treatment of a three months' regimen with itraconazole at the daily dosage of 200 mg, the patient's symptoms, laboratory data and radiological findings markedly improved.