Article
Coccidioidomycosis: an unusual cause of acute respiratory distress syndrome
Registro en:
VERAS, Kelson Nobre et al. Coccidioidomycosis: an unusual cause of acute respiratory distress syndrome. Jornal de Pneumologia. Rio de Janeiro, v. 29, n. 1, p. 45-48, 2003.
0102-3586
10.1590/S0102-35862003000100010
1678-4642
Autor
Veras, Kelson Nobre
Figueirêdo, Bruno C. de Souza
Martins, Liline Maria Soares
Vasconcelos, Jayro T. Paiva
Wanke, Bodo
Resumen
A male farmer, 20 years old, from the countryside of the State of Piauí, developed acute respiratory infection. Despite adequate antimicrobial therapy, his conditions worsened, requiring mechanical ventilation. His X-rays showed diffuse pulmonary infiltrates. His PaO2/FiO2 ratio was 58. Direct microscopy and culture of tracheal aspirates showed the presence of Coccidioides immitis.
Autochthonous cases of coccidioidomycosis have only recently been described in Brazil, most of them from the State of Piauí. C. immitis has been isolated from humans, dogs and armadillos (Dasypus novemcinctus), and also from soil samples of armadillo’s burrows. Failure to respond to antimicrobial therapy and a patient’s origin from recognized endemic areas should alert to the possibility of acute pulmonary coccidioidomycosis.