Abdominal and pelvic coccidioidomycosis

Geoffrey Smith, Susan Hoover, Richard Sobonya, Stephen A. Klotz

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Coccidioidomycosis is a fungal infection endemic to the Southwestern United States that has a clinical presentation resembling community-acquired pneumonia. Disease occurs after inhalation of airborne arthroconidia. Dissemination to a variety of organ systems via hematogenous spread from a primary pulmonary focus may then occur. Coccidioidomycosis rarely involves the abdominal cavity. The authors review the spectrum of abdominal and pelvic presentations of coccidioidomycosis and report 6 unusual cases, including acute appendicitis, hepatitis and adnexal masses. Pathologists played a critical role in the diagnosis of these presentations by recognizing spherules in tissue. In only 2 of the cases were Coccidioides species cultured.

Original languageEnglish (US)
Pages (from-to)308-311
Number of pages4
JournalAmerican Journal of the Medical Sciences
Issue number4
StatePublished - Apr 2011


  • Appendicitis
  • Coccidioides
  • Coccidioidomycosis
  • Hepatitis
  • Pelvic tumors

ASJC Scopus subject areas

  • Medicine(all)


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