Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis
Christian Olivo-Freites,
Oscar E. Gallardo-Huizar,
Christopher J. Graber,
Kevin Ikuta
Affiliations
Christian Olivo-Freites
Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA
Oscar E. Gallardo-Huizar
Department of Internal Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA; Correspondence to: UCLA Olive View, Department of Medicine, room 2B-182, 14445 Olive View Dr., Sylmar, CA 91342, USA.
Christopher J. Graber
Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA; Infectious Diseases Section, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Kevin Ikuta
Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA; Infectious Diseases Section, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
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.
