Arellano-Borja A, Mojarra-Estrada JM, Carvajal A, Figueroa-Damián R

Language: Spanish
References: 20
Page: 150-155
PDF size: 179.11 Kb.

ABSTRACT

Introduction: Coccidioidomycosis is an infectious disease caused by inhaling spores of a fungus of the genus Coccidioides. The endemic distribution of fungus covers arid zones mainly the southwestern U.S. and northern Mexico. According to the Secretariat of Health, the incidence of coccidioidomycosis in Mexico is 0.5 to 1.3 cases per 100,000 population. Less than 1% of patients with this fungal infection develop extrapulmonary disease. Peritoneal involvement by this fungus is rare and it is attributable to the acquisition by blood or gastrointestinal route. Objective: To present the case of a female patient who suffering from infertility and who was diagnosed with peritoneal coccidioidomycosis using laparoscopy and biopsy. Case report: Women of 39 years with infertility of undetermined origin, during her study the presence of ascites and significant elevation of carcinoembryonic antigen (CA-125) were identified. Gynecologic laparoscopy was performed and vascularized "millet grain"-type coarse granular infiltrate of was observed in peritoneal cavity. The biopsy showed peritoneal tissue, data of chronic inflammation, the presence of granulomas and spherules in granulomatous formations, and pathognomonic histological datum of coccidioidomycosis.

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