Successful treatment of disseminated nonmeningeal coccidioidomycosis with voriconazole.
case_report · Level V
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Abstract
A 31-year-old Jamaican man with disseminated nonmeningeal coccidioidomycosis that involved the spine, ribs, pelvis, liver, and spleen did not clinically respond to a prolonged course of both amphotericin B deoxycholate and liposomal amphotericin B therapy. After institution of voriconazole monotherapy, the patient had a favorable (albeit slow) radiological and clinical response without adjunctive surgical intervention.
Medical subject headings
- Antifungal Agents
- Coccidioidomycosis
- Pyrimidines
- Triazoles