Coccidioidomycosis and aspergillosis in a patient with pulmonary tuberculosis sequelae

Abstract: Introduction: Coccidioidomycosis is exclusive to the American continent, being endemic in the southwestern United States and northwestern Mexico. Aspergillosis is an opportunistic mycosis caused by the saprophytic soil fungus Aspergillus spp. The main risk factors that favor the presence of these mycoses are structural lung damage and immunocompromise. Clinical case: We present a case of coinfection by Aspergillus spp. and Coccidioides spp. in a patient with a history of pulmonary tuberculosis and diabetes mellitus. Sputum examination reported the simultaneous isolation of Coccidioides spp. and Aspergillus spp. Conclusions: In patients with respiratory symptoms and a history of tuberculosis and fibrocavitary sequelae, it is essential to rule out initially a tuberculosis relapse, but at the same time, investigate the presence of endemic and opportunistic fungi.

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Bibliographic Details
Main Authors: Flores-Acosta,Rogelio, Félix-Ponce,Miroslava, Jiménez-Gracia,Alejandra Isabel, Laniado-Laborín,Rafael
Format: Digital revista
Language:English
Published: Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología. 2022
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0028-37462022000200141
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