Coccidioidomycosis in armadillo hunters from the state of Ceará, Brazil

Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in wh...

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Bibliographic Details
Published in:	Memórias do Instituto Oswaldo Cruz Vol. 107; no. 6; pp. 813 - 815
Main Authors:	Brillhante, Raimunda Sâmia Nogueira, Filho, Renato Evando Moreira, Rocha, Marcos Fábio Gadelha, Castelo-Branco, Débora de Souza Collares Maia, Fechine, Maria Auxiliadora Bezerra, de Lima, Rita Amanda Chaves, Picanço, Yuri Vieira Cunha, Cordeiro, Rossana de Aguiar, de Camargo, Zoilo Pires, Queiroz, José Ajax Nogueira, de Araujo, Roberto Wagner Bezerra, de Mesquita, Jacó Ricarte Lima, Sidrim, José Júlio Costa
Format:	Journal Article
Language:	English
Published:	Brazil Fundação Oswaldo Cruz, Fiocruz 01-09-2012 Instituto Oswaldo Cruz, Ministério da Saúde Fundação Oswaldo Cruz (FIOCRUZ)
Subjects:	Adolescent Animals Armadillos - microbiology Brazil - epidemiology Coccidioides - isolation & purification coccidioidomycosis Coccidioidomycosis - diagnosis Coccidioidomycosis - epidemiology diagnosis Disease Outbreaks Humans Lung Diseases, Fungal - diagnosis Lung Diseases, Fungal - epidemiology Male micro-epidemic Middle Aged PARASITOLOGY pneumonia pneumonia - coccidioidomycosis - micro-epidemic - diagnosis Pneumonia - diagnosis Pneumonia - epidemiology Pneumonia, Bacterial - diagnosis Pneumonia, Bacterial - drug therapy Soil Microbiology TROPICAL MEDICINE Brazil coccidioidomycosis diagnosis pneumonia micro-epidemic
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Summary:	Coccidioidomycosis is a systemic mycosis with a variable clinical presentation. Misdiagnosis of coccidioidomycosis as bacterial pneumopathy leads to inappropriate prescription of antibiotics and delayed diagnosis. This report describes an outbreak among armadillo hunters in northeastern Brazil in which an initial diagnosis of bacterial pneumonia was later confirmed as coccidioidomycosis caused by Coccidioides posadasii . Thus, this mycosis should be considered as an alternative diagnosis in patients reporting symptoms of pneumonia, even if these symptoms are only presented for a short period, who are from areas considered endemic for this disease.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1678-8060 0074-0276 1678-8060 0074-0276
DOI:	10.1590/S0074-02762012000600017