Erythema Nodosum and a Cavitary Lung Lesion in a Febrile Returned Traveler from Arizona: a Case of Coccidioidomycosis

Current Infectious Disease Reports volume 23, Article number: 1 (2021) Cite this article

Abstract

Coccidioidomycosis incidence has been increasing recently in endemic regions. The disease can manifest with variable pulmonary and cutaneous presentations, challenging the clinical diagnosis. Our case highlights the differential diagnosis that must be considered for presentations of erythema nodosum and cavitating lung lesions and the importance of synthesizing the entire patient history—including travel history—for construction of appropriate diagnostic and treatment plans.

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All data and materials are available from the authors.

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Affiliations

  1. Tropical Disease Unit, Toronto General Hospital, 200 Elizabeth Street, 13EN-218, Toronto, ON, M5G 2C4, Canada

    Aisha Khatib, Hira Raheel & Andrea K. Boggild

  2. Department of Family and Community Medicine, University of Toronto, Toronto, Canada

    Aisha Khatib

  3. Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada

    Avinash N. Mukkala & Andrea K. Boggild

  4. University of Waterloo, Waterloo, Ontario, Canada

    Tianna Chong-Kit

  5. Department of Medicine, University of Toronto, Toronto, Ontario, Canada

    Andrea K. Boggild

Authors
  1. Aisha Khatib
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  2. Avinash N. Mukkala
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  3. Tianna Chong-Kit
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  4. Hira Raheel
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  5. Andrea K. Boggild
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Contributions

AK, ANM, TC-K, and HR contributed to data extraction and literature review and were responsible for the initial draft of the manuscript. AKB conceived the report and contributed to data extraction, literature review, and writing of the manuscript. All authors revised the manuscript critically for important content and approved the final version for submission. All serve as guarantors of the work.

Corresponding author

Correspondence to Andrea K. Boggild.

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Conflict of Interest

Aisha Khatib, Avinash N. Mukkala, Tianna Chong-Kit, and Hira Raheel each declare no potential conflicts of interest. Andrea K. Boggild is a Section Editor for Current Infectious Disease Reports.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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The patient described herein provided verbal consent for scientific communication of her personal health information including images.

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This article is part of the Topical Collection on Tropical, Travel, and Emerging Infections

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Khatib, A., Mukkala, A.N., Chong-Kit, T. et al. Erythema Nodosum and a Cavitary Lung Lesion in a Febrile Returned Traveler from Arizona: a Case of Coccidioidomycosis. Curr Infect Dis Rep 23, 1 (2021). https://doi.org/10.1007/s11908-020-00745-8

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Keywords

  • Cavitary lung lesion
  • Coccidioidomycosis
  • Erythema nodosum
  • Fever in the returning traveler
  • Valley fever