Coccidioidal pneumonia, arthritis, and soft-issue infection after kidney transplantation

Janis E. Blair

Research output: Contribution to journalArticle

19 Scopus citations

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 languageEnglish (US)
Pages (from-to)74-76
Number of pages3
JournalTransplant Infectious Disease
Volume6
Issue number2
DOIs
StatePublished - Jun 1 2004

Keywords

  • Coccidioides immitis
  • Coccidioidomycosis
  • Fungal lung diseases
  • Kidney transplantation
  • Pneumonia

ASJC Scopus subject areas

  • Infectious Diseases
  • Transplantation

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