Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis

Christian Olivo-Freites; Oscar E Gallardo-Huizar; Christopher J Graber; Kevin Ikuta

doi:10.1016/j.idcr.2022.e01636

Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis

IDCases. 2022 Nov 1:30:e01636. doi: 10.1016/j.idcr.2022.e01636. eCollection 2022.

Authors

Christian Olivo-Freites¹, Oscar E Gallardo-Huizar², Christopher J Graber^{1

3}, Kevin Ikuta^{1

3}

Affiliations

¹ Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
² Department of Internal Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA.
³ Infectious Diseases Section, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.

Abstract

Coccidioides is a dimorphic fungus that can cause various clinical presentations, mainly pulmonary, skin, musculoskeletal, and in the central nervous system; most reports are in the southwestern area of the USA. We present a case of a young male with a perianal abscess in the absence of any pulmonary or constitutional symptoms. Perianal abscess as initial manifestation is a novel presentation of coccidioidomycosis in the literature.

Keywords: Abscess; Coccidioides; Coccidioidomycosis; Perianal.

Publication types

Case Reports