Disseminated Coccidioidomycosis: Cutaneous, Soft Tissue, Osseous, and "Shotgun Intraparenchymal" Brain Disease

J Investig Med High Impact Case Rep. 2022 Jan-Dec:10:23247096221075906. doi: 10.1177/23247096221075906.

Abstract

Coccidioidomycosis is a disease found in the southwestern United States and caused by inhalation of arthroconidia of Coccidioides immitis and posadasii. Although the disease is most commonly asymptomatic or respiratory, it has a propensity to disseminate to any tissue in the body with the most common being skin, bone, joints, and central nervous system. This case demonstrates the dissemination of coccidioidomycosis to several foci along with a rare form of parenchymal dissemination with an unusual neuroradiological finding.

Keywords: coccidioidomycosis; dissemination; fungal infection; meningitis; soft tissue infection; valley fever.

Publication types

  • Case Reports

MeSH terms

  • Brain Diseases*
  • Coccidioides
  • Coccidioidomycosis* / diagnostic imaging
  • Humans
  • Skin
  • Spores, Fungal