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Coccidioidal pneumonia, arthritis, and soft‐tissue infection after kidney transplantation
Author(s) -
Blair J.E.
Publication year - 2004
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2004.00058.x
Subject(s) - medicine , fluconazole , immunosuppression , pneumonia , debridement (dental) , surgery , kidney transplantation , soft tissue , transplantation , kidney , arthritis , antifungal , dermatology
A 60‐year‐old male kidney transplant recipient presented with pneumonia 4 months after transplantation. Coccidioidomycosis was suspected and empirically treated with fluconazole. He was maintained on suppressive fluconazole without problems. Three weeks after discontinuing secondary prophylaxis, the patient experienced coccidioidal arthritis and an infection of the soft tissue of the hand that required debridement. Transplant recipients may have quiescent disseminated coccidioidomycosis that is reactivated by immunosuppression after withdrawal of suppressive antifungal therapy.