3,976 results match your criteria: "Coccidioidomycosis"

Article Synopsis
  • Azoles, commonly used antifungal medications, can have negative effects on the skin, including issues with skin appendages.
  • The text discusses two pediatric cases of chronic paronychia (inflammation of the nails) in patients treated with fluconazole, an azole used for a fungal infection called coccidioidomycosis.
  • Clinical details of the patients are provided along with a review of existing literature on this side effect.
View Article and Find Full Text PDF
Article Synopsis
  • - This study investigates the adverse drug events (ADEs) linked to TNF-α inhibitors (TNFis) used in rheumatoid arthritis (RA) patients, pulling data from the FDA's reporting system to enhance clinical understanding.
  • - Four common ADEs among TNFis are identified (pulmonary tuberculosis, infections, hypersensitivity, and herpes zoster), but each TNFi also has unique ADEs: Adalimumab has the highest with 63 unique events, while etanercept has 180 unique ADEs.
  • - The research highlights the need for careful medication selection by clinicians, especially for RA patients with existing malignancies, due to the variety of common and unique ADEs linked to different TNFis.
View Article and Find Full Text PDF
Article Synopsis
  • Lupus erythematosus tumidus (LET) is a rare skin condition that can be difficult to diagnose due to its similarities with other skin disorders.
  • A case involving a 52-year-old Hispanic female revealed that she was initially misdiagnosed with erythema nodosum and treated ineffectively before tests confirmed LET.
  • The patient responded well to treatment with hydroxychloroquine, highlighting the importance of confirmatory testing before starting treatment for skin conditions like LET.
View Article and Find Full Text PDF
Article Synopsis
  • Coccidioidomycosis, or Valley fever, is a rising infectious disease caused by inhaling fungal spores from Coccidioides, whose endemic region is expanding due to climate change.
  • Traditional case data for Valley fever is flawed due to issues like false positives and underreporting, making it unreliable for assessing Coccidioides endemicity.
  • A new Bayesian model was proposed to estimate Coccidioides endemicity in the western U.S., revealing high endemicity in states like California and Arizona, while also addressing detection variability linked to environmental factors like precipitation and agriculture.
View Article and Find Full Text PDF

Pharmacokinetics of isavuconazonium sulfate and its active metabolite isavuconazole in healthy dogs.

PLoS One

July 2024

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, United States of America.

Article Synopsis
  • * Isavuconazole, a new antifungal, shows promise with an expanded antifungal activity and a potentially safer profile compared to traditional azoles, though its effects in dogs haven't been fully studied.
  • * A study on healthy beagle dogs determined the pharmacokinetics of isavuconazole after different administration methods, revealing key data about peak plasma concentrations and half-life, while reporting one incident of anaphylaxis and no major adverse effects.
View Article and Find Full Text PDF

A 57-year-old female with a history of type 2 diabetes mellitus and hypertension presented to the emergency department on multiple occasions with neurologic symptoms due to multiple embolic strokes of unclear etiology. While participating in inpatient rehabilitation, she subsequently developed fever and shaking chills. Infectious disease consultation was obtained, during which the patient reported travel to Mexico two months prior.

View Article and Find Full Text PDF

Histoplasma capsulatum is a dimorphic fungus that grows in nature as a mold or in culture but converts to a small yeast during cellular invasion. While most histoplasmosis infections are primarily asymptomatic or mildly symptomatic, disseminated histoplasmosis is a relentlessly progressive granulomatous disease that can mimic other granulomatous diseases, such as tuberculosis, sarcoidosis or coccidioidomycosis, more so in the proper context of immunosuppression. The current global migrant crisis, particularly the United States migrant crisis conversation is mostly socio-political; however, it also has a public health implication as exemplified by the case of a 35-year-old male who migrated from Haiti via Chile and Mexico to the United States.

View Article and Find Full Text PDF
Article Synopsis
  • The World Health Organization initiated a fungal pathogen priority list due to the rising threat of fungal diseases, focusing on the epidemiology of Talaromyces marneffei, Coccidioides species, and Paracoccidioides species.
  • A total of 48 studies were reviewed, revealing high mortality rates for invasive infections (up to 22.7%) and frequent hospitalizations for coccidioidomycosis (up to 84%), often with readmission.
  • There is evidence of reduced effectiveness of certain antifungals against some species, with risk factors for mortality related to CD4 counts, and outbreaks commonly linked to construction activities; increased surveillance and further studies are needed.
View Article and Find Full Text PDF

Coccidioidomycosis in Immunocompromised at a Non-Endemic Referral Center in Mexico.

J Fungi (Basel)

June 2024

Infectious Diseases Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico.

The incidence and distribution of coccidioidomycosis are increasing. Information scarcity is evident in Mexico, particularly in non-endemic zones and specific populations. We compared the treatment and outcomes for patients with isolated pulmonary infections and those with disseminated coccidioidomycosis, including mortality rates within six weeks of diagnosis.

View Article and Find Full Text PDF

Objective: To evaluate temporal changes in serum C-reactive protein (CRP) and haptoglobin (Hp) concentrations in dogs with pulmonary coccidioidomycosis and assess their utility to detect remission.

Methods: 31 client-owned dogs with newly diagnosed pulmonary coccidioidomycosis from October 2020 to February 2021 were included in a retrospective cohort study that utilized archived serum. Serum was originally obtained at diagnosis and once every 3 months after antifungal administration until either remission or 12 months.

View Article and Find Full Text PDF

Fungal Musculoskeletal Infections: Comprehensive Approach to Proper Diagnosis.

Radiographics

July 2024

From the Department of Diagnostic Imaging, Escola Paulista de Medicina, Universidade Federal de São Paulo, Napoleão de Barros Street, 800 Vila Clementino, São Paulo, SP, Brazil 04024-002 (M.C.A., J.B.P., V.N.S., L.K.M., D.T.K., A.d.A.e.C., A.R.C.F., A.Y.A.); Department of Radiology, Hospital das Clínicas da Faculdade de Medicina de Marília, Marília, São Paulo, Brazil (M.C.A.); Department of Radiology, Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Bronx, NY (J.T.B.); Department of Diagnostic Imaging, Laboratório Delboni, DASA, São Paulo, Brazil (J.B.P., V.N.S., L.K.M., D.T.K., A.Y.A.); Department of Radiology, Hospital do Coração, HCor and Teleimagem, São Paulo, Brazil (V.N.S.); Department of Infectious Diseases, Universidade Federal de São Paulo, São Paulo, Brazil (A.M.D.); Hospital Israelita Albert Einstein, São Paulo, Brazil (A.d.A.e.C.); and Department of Radiology, Grupo de Radiologia e Diagnóstico por Imagem-Rede D'Or, São Paulo, Brazil (A.R.C.F.).

Article Synopsis
  • Fungal musculoskeletal infections can be challenging to identify due to their subtle symptoms and rarity, often overlapping with other diseases.
  • These infections spread through blood, direct contact, or nearby tissue extension, with risk factors including weakened immune systems and exposure at work, and can either be isolated or part of broader systemic issues.
  • Imaging plays a key role in diagnosis, revealing nonspecific signs like bone destruction and joint changes, but may also provide clues when combined with patient history and geographical context.
View Article and Find Full Text PDF

Challenges to Implementing a Vaccine for Coccidioidomycosis.

Open Forum Infect Dis

June 2024

Departments of Medicine and Immunobiology, University of Arizona, Tucson, Arizona, USA.

Article Synopsis
  • - A vaccine for coccidioidomycosis is set to enter trials soon.
  • - The authors propose four key questions that need answers before the vaccine can be widely used.
  • - These questions focus on vaccination goals, target populations for vaccination, methods for assessing immunity and protection, and strategies to combat vaccine hesitancy.
View Article and Find Full Text PDF

Coccidioidomycosis poses a significant cost and morbidity burden in the United States. Additionally, coccidioidomycosis requires constant decision-making related to prevention, diagnosis, and management. Delays in diagnosis lead to significant consequences, including unnecessary diagnostic workup and antibacterial therapy.

View Article and Find Full Text PDF

In the present study, we validate and compare the second-generation Miravista Coccidioides IgG and IgM enzyme immunoassays (EIA) (MiraVista Diagnostics [MVD] Ab EIA) to Meridian Diagnostics Coccidioides IgG and IgM EIA (Meridian Ab EIA), immunodiffusion (ID) and complement fixation (CF). We also evaluated whether the addition of Coccidioides antigen testing to anti-Coccidioides antibody testing increased the sensitivity for the diagnosis of currently active coccidioidomycosis. We retrospectively studied 555 patients evaluated at Valleywise Health Medical Center between January 2013 and May 2017 for whom coccidioidomycosis was suspected and samples were submitted to MVD for testing.

View Article and Find Full Text PDF

Host tracheal and intestinal microbiomes inhibit growth .

Microbiol Spectr

July 2024

Quantitative and Systems Biology, Graduate Program, University of California, Merced, Merced, California, USA.

Unlabelled: Coccidioidomycosis, also known as Valley fever, is a disease caused by the fungal pathogen . Unfortunately, patients are often misdiagnosed with bacterial pneumonia, leading to inappropriate antibiotic treatment. The soil -like species exhibits antagonistic properties against ; however, the antagonistic capabilities of host microbiota against are unexplored.

View Article and Find Full Text PDF

Evaluation of the Analytical Performance of a Lateral Flow Assay for the Detection of Anti- Antibodies in Human Sera-Argentina.

J Fungi (Basel)

April 2024

Laboratorio Nacional de Referencia en Micología Clínica, Departamento Micología, Instituto Nacional de Enfermedades Infecciosas (INEI), Administración Nacional de Laboratorios e Institutos de Salud (ANLIS) "Dr. Carlos G. Malbrán", Buenos Aires 1282, Argentina.

Coccidiomycosis is a potentially life-threatening fungal infection endemic to certain regions of Argentina. The infection is caused by spp. and is primarily diagnosed by antibody (Ab) detection.

View Article and Find Full Text PDF

Valley Fever (VF), caused by fungi in the genus , is a prevalent disease in southwestern and western parts of the United States that affects both humans and animals, such as dogs. Although the immune responses to infection with spp. are not fully characterized, antibody-detection assays are used in conjunction with clinical presentation and radiologic findings to aid in the diagnosis of VF.

View Article and Find Full Text PDF

Background: Coccidioidomycosis is a systemic fungal disease endemic to arid regions of the Western Hemisphere. In the south-western US, Coccidioides spp. may account for up to 20%-25% of all cases of community acquired pneumonia.

View Article and Find Full Text PDF
Article Synopsis
  • The paper discusses a case of bioprosthetic aortic valve infective endocarditis treated successfully and highlights a review of fungal infective endocarditis cases in the U.S.
  • Symptoms often appeared months before the diagnosis, with younger patients showing fewer health issues and relatively low rates of valvular involvement.
  • High mortality rates were reported, with many cases diagnosed post-mortem; most surviving patients underwent valve surgery and antifungal treatment, while a few survived with only antifungal therapy.
View Article and Find Full Text PDF

Proceedings of the second international meeting on endemic mycoses of the Americas (IMEMA) and first international symposium on implantation mycoses (ISIM).

Med Mycol

July 2024

Instituto de Medicina Regional, Universidad Nacional del Nordeste, Consejo Nacional de Investigaciones Científicas y Técnicas de Argentina (CONICET), Resistencia, Argentina.

The second international meeting on endemic mycoses of the Americas (IMEMA) and the first international symposium on implantation mycoses (ISIM) took place in Santiago del Estero, Argentina, on September 25-27, 2023. The conference provided a platform for researchers, clinicians, and experts to discuss the latest developments in the field of endemic and implantation mycoses. Topics included epidemiology, diagnostic advances, treatment strategies, and the impact of environmental factors on the spread of these fungal diseases.

View Article and Find Full Text PDF

Background: Coccidioidomycosis within endemic regions is often undiagnosed because appropriate testing is not performed. A dashboard was developed to provide information about the prevalence of coccidioidomycosis throughout the year.

Methods: Banner Urgent Care Service has many clinics within Maricopa County, Arizona, a highly endemic region for coccidioidomycosis.

View Article and Find Full Text PDF

Valley fever is a fungal infection, commonly of the lungs, caused by Coccidioides immitis or Coccidioides posadasii. This disease is endemic to the southwestern United States, Central America, and South America. Infected individuals are typically asymptomatic but may develop community-acquired pneumonia.

View Article and Find Full Text PDF

Fulminant Disseminated Coccidioidomycosis With Histoplasma Antigen Cross-Reactivity.

Cureus

April 2024

Pulmonary and Critical Care Medicine, Harbor University of California, Los Angeles Medical Center, Torrance, USA.

A 79-year-old man with type II diabetes mellitus and recently diagnosed idiopathic thrombocytopenic purpura presented to the Emergency Department with progressive dyspnea over the course of two weeks. He was found to have diffuse miliary nodules, dense cavitary consolidation, and widespread cystic changes on chest imaging and died within 48 hours of admission to the hospital. His serum Coccidioides antibody and urine Histoplasma antigen were both positive.

View Article and Find Full Text PDF