• Tuberculosis and Respiratory Diseases
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• 제60권1호
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• pp.97-101
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• 2006

Coccidioidomycosis is a rare systemic fungal infection in Korea. However, the incidence of coccidioidomycosis has recently begun to increase due to the increasing incidence of people traveling overseas to endemic areas. In previously reported cases of coccidioidomycosis in Korea, the radiographic findings usually showed a solitary pulmonary nodule, pleural effusion, cavitation, and hilar lymphadenopathy, but no miliary nodules. We report a case of disseminated coccidioidomycosis with miliary nodules in an immunocompetent patient. A 32 year old male, who had traveled in Corona, New Mexico, USA, was admitted for an evaluation of persistent cough with fever. Chest radiography revealed initially diffuse multiple small nodules that appeared to be miliary tuberculosis. However, a subsequent evaluation revealed that he had disseminated coccidioidomycosis.

• Tuberculosis and Respiratory Diseases
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• 제58권4호
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• pp.399-403
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• 2005

우리나라는 콕시디오이데스 진균증의 유행지역이 아니기 때문에 유행지역에 대한 해외여행자나 이민거주자가 아니면 임상적으로 의심하기가 쉽지 않다. 저자들은 해외여행력과 이민거주자가 아닌 내국인으로 당뇨와 의인성 쿠싱 증후군을 오랫동안 간과해 왔던 상태에서 일광화상 후 생긴 피부상처 치료도중 우연히 파종성 콕시디오이데스 진균증을 진단하게 되었기에 문헌고찰과 함께 보고하는 바이다.