Disseminated coccidioidomycosis with molluscum-like lesions, diffuse lymphadenopathy, and splenomegaly in an immunocompetent patient

Abstract

Ernest Fonocho,1 Richard Murray,2 Nail Aydin,1 1Texas Tech University Health Sciences Center, 2Department of Radiology, NorthWest Texas Healthcare System, Amarillo, TX, USA Abstract: Coccidioidomycosis is caused by a dimorphic fungus species endemic to the arid and semi-arid regions of the Americas. The species have a terranean habitat producing a primary pulmonary infection by inhalation of arthroconidia. We describe a case of extrapulmonary ­coccidioidomycosis presenting with extensive lymphadenopathy, splenomegaly, and florid cutaneous lesions. This case is intended to heighten clinical suspicion in patients with risk factors. Keywords: rare, manifestation, disease, florid, facial, papules

Keywords

• Coccidioidomycosis
• Molluscum-like Lesions
• Diffuse Lymphadenopathy
• Immunocompetent