Coccidioidomycosis of cervical lymph nodes in an HIV-infected patient with immunologic reconstitution on potent HAART: a rare observation in a nonendemic area

Alessandro D'Avino; Simona Di Giambenedetto; Massimiliano Fabbiani; Salvatore Farina

doi:10.1016/j.diagmicrobio.2011.10.002

Coccidioidomycosis of cervical lymph nodes in an HIV-infected patient with immunologic reconstitution on potent HAART: a rare observation in a nonendemic area

Diagn Microbiol Infect Dis. 2012 Feb;72(2):185-7. doi: 10.1016/j.diagmicrobio.2011.10.002. Epub 2011 Nov 21.

Authors

Alessandro D'Avino¹, Simona Di Giambenedetto, Massimiliano Fabbiani, Salvatore Farina

Affiliation

¹ Institute of Clinical Infectious Diseases, Catholic University of the Sacred Heart, L. go F. Vito 1, 00168 Rome, Italy. alessandro-davino@virgilio.it

PMID: 22104185
DOI: 10.1016/j.diagmicrobio.2011.10.002

Abstract

Coccidioidomycosis is caused by the dimorphic fungus Coccidioides immitis, which is endemic in southwestern United States. We report a case of coccidioidomycosis of cervical lymph nodes that occurred early after the introduction of highly active antiretroviral therapy during the phase of immune system recovery, demonstrating a rare disease in a nonendemic area.

Publication types

Case Reports

MeSH terms

Antifungal Agents / therapeutic use
Antiretroviral Therapy, Highly Active*
Coccidioidomycosis / diagnosis*
Coccidioidomycosis / drug therapy
Coccidioidomycosis / immunology
Fluconazole / therapeutic use
HIV Infections / complications*
HIV Infections / drug therapy
Humans
Immune Reconstitution Inflammatory Syndrome / complications*
Lymph Nodes / microbiology*
Lymph Nodes / pathology
Male
Middle Aged

Substances

Antifungal Agents
Fluconazole