Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital

Peritoneal and genital coccidioidomycosis in an otherwise healthy Danish female: a case report

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Differences in mortality in patients undergoing surgery for infective endocarditis according to age and valvular surgery

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Renal function in Ethiopian HIV-positive adults on antiretroviral treatment with and without tenofovir

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. The cause of death in bacterial meningitis

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Coccidioidomycosis is a fungal infection that usually presents as a primary lung infection. The fungus is endemic to the Southwest United States of America, northern Mexico and parts of Central and South America the infection is rare outside these areas. However, some patients develop disseminated infection that can lie dormant for several years and can present itself in travelers. We report the first case of extra pulmonary Coccidioidomycosis in a non-immunocompromised individual in Denmark.

CASE PRESENTATION: A 32 year old Danish woman presented at the Emergency department with abdominal pain. Computed tomography scan and ultrasound examination of the pelvis raised suspicion of salpingitis. A laparoscopy exposed a necrotic salpinx and several small white elements that resembled peritoneal carcinomatosis. Histological workup however determined that she suffered from disseminated coccidioidomycosis. The patient had lived 2 years in Las Vegas, in the United States of America, 7 years prior and had no memory of lung infection at the time.

CONCLUSIONS: Disseminated coccidioidomycosis is rare in non-immunocompromised individuals. The patient in this case underwent several rounds of in vitro fertilization treatment in the years before admittance. We suspect that the hormonal treatment in combination with low-dose prednisolone may have triggered reemergence of the disease and present literature that support this.

Original languageEnglish
JournalBMC Infectious Diseases
Issue number1
Pages (from-to)e105
Publication statusPublished - 1 Jan 2017

ID: 49798285