Abstract
A 60-year-old male kidney transplant recipient presented with pneumonia 4 months after transplantation. Coccidioidomycosis was suspected and empirically treated with fluconazole. He was maintained on suppressive fluconazole without problems. Three weeks after discontinuing secondary prophylaxis, the patient experienced coccidioidal arthritis and an infection of the soft tissue of the hand that required debridement. Transplant recipients may have quiescent disseminated coccidioidomycosis that is reactivated by immunosuppression after withdrawal of suppressive antifungal therapy.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 74-76 |
| Number of pages | 3 |
| Journal | Transplant Infectious Disease |
| Volume | 6 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 2004 |
Keywords
- Coccidioides immitis
- Coccidioidomycosis
- Fungal lung diseases
- Kidney transplantation
- Pneumonia
ASJC Scopus subject areas
- Infectious Diseases
- Transplantation