Journal of Investigative Medicine High Impact Case Reports (Jun 2019)

Locus Minoris Resistentiae in Coccidioidomycosis: A Case Series

  • Namgyal Sherpa,
  • Rushabh Shah MD,
  • Brian Nordstrom MD,
  • Christine Palmares,
  • Arash Heidari MD,
  • Royce Johnson MD

DOI
https://doi.org/10.1177/2324709619858110
Journal volume & issue
Vol. 7

Abstract

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Locus minoris resistentiae refers to decreased resistance in any internal organ or external body region, leaving it more vulnerable to disease processes than other regions. These changes, either congenital or acquired, alter the defense capacity. The concept of locus minoris resistentiae is widely accepted in the medical field and presents itself across specialties. Antecedent trauma is a known risk factor for hematogenous dissemination of infection; this also applies to coccidioidal species. In this article, we describe 2 patients who suffered from pulmonary coccidioidomycosis with subsequent trauma resulting in osseous dissemination to the site of injury.