A NEWLY DIAGNOSED WEGENER’S DISEASE AS THE UNDERLYING CAUSE FOR A DISSEMINATED COCCIDIOIDOMYCOSIS

Abstract

In most cases coccidioidomycosis presents as a benign mildly severe respiratory disease with a benign course and spontaneous resolution. Rarely dissemination can lead to complications. We believe this is the first published case of a patient with a disseminated coccidioidomycosis, as shown on a urinary sample, in association with Wegener’s disease. It was a challenge to diagnose and consecutively treat the patient as therapies seem to be conflictual.

This case illustrates how migration, changing habits and attitudes, travelling, changing geo-ecological circumstances can lead to a change in medical environment.

It is therefore essential that the microbiologist becomes a clinical microbiologist who communicates intensively with his fellow clinicians.

Keywords:

• coccidioidomycosis
• Wegener
• travel
• environmental
• disseminated