Premium
Coccidioidomycosis Causing Massive Cervical Lymphadenopathy
Author(s) -
Biller Jason A.,
Scheuller Michael C.,
Eisele David W.
Publication year - 2004
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/01.mlg.0000147916.35992.e7
Subject(s) - medicine , concomitant , antifungal , systemic therapy , head and neck , cervical lymphadenopathy , disease , dermatology , systemic disease , surgery , pathology , cancer , breast cancer
Coccidioidomycosis involving the head and neck is uncommon. We present a case of a patient with disseminated coccidioidomycosis and massive submandibular cystic lymphadenopathy unresponsive to systemic antifungal treatment. It is our impression that significant clinical improvement resulted from concomitant needle aspiration of the cystic nodes to decrease fungal load and modification of systemic medication. Although reduction of fungal burden may provide an improved response to antifungal therapy, disseminated coccidioidomycosis is a systemic disease that requires appropriate systemic therapy.