Prognostic Significance of Cutaneous Lesions in Coccidioidal Granuloma

Epstein, Ervin

doi:10.1001/archderm.1938.01480170076008

Cited by 15 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, 4 were excluded from consideration because they lacked clinical or pathologic description. [4][5][6][7] The other 4 reported cases, along with our 2 cases, are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endocarditis Caused by Coccidioides Species

Reuss¹,

Hall

Blair³

et al. 2004

Mayo Clinic Proceedings

View full text Add to dashboard Cite

Endocarditis caused by Coccidioides species has been reported rarely. Herein, we report 2 such cases and summarize 4 published reports. Coccidioidal endocarditis was found in patients who had prolonged or disseminated infection. Vegetations were identified on mitral or aortic valves or valvular rings, and embolic phenomena were observed. Diagnosis was hindered by uniformly negative results from blood cultures. The patients had a wide range of serologic titers for Coccidioides species (1:1-1:2048). The infection was fatal in 4 of the 6 patients whose cases we reviewed. We conclude that coccidioidal endocarditis is an uncommon manifestation of Coccidioides infection that connotes a poor prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…12 Four reported cases of coccidioidal valvular disease included no clinical, anatomical, or pathologic details. [4][5][6][7] For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.…”

Section: Coccidioidal Infectionmentioning

confidence: 99%

Endocarditis Caused by Coccidioides Species

Reuss¹,

Hall

Blair³

et al. 2004

Mayo Clinic Proceedings

View full text Add to dashboard Cite

show abstract

“…In addition to our current case, 12 other cases of CIE have been published in the literature. We included only 11 cases for which adequate descriptive data were available [3][4][5][6][7][8][9][10][11][12].…”

Section: Methodsmentioning

confidence: 99%

“…Endocardial cultures were positive for Coccidioides in five of six cases. Seven cases were diagnosed post-mortem; four of these had no prior cardiac imaging owing to lack of availability or lack of initial suspicion [ 5 , 6 , 10 , 12 ], including one reported by Olavarria and Fajardo [ 6 ] with known disseminated coccidioidomycosis and another by Epstein [ 5 ] that had positive blood cultures for Coccidioides species. Among the other three cases, two had endocardial lesions on TTE, but blood cultures were repeatedly negative [ 7 , 11 ], and one case had two negative TTEs and 10 sets of negative blood cultures despite ongoing embolic phenomena to his hands and feet [ 9 ].…”

Section: Case Presentationmentioning

confidence: 99%

Endemic Fungal Infective Endocarditis Caused by Coccidioides, Blastomyces and Histoplasma Species in the United States

Kasule,

Grant,

Apolinario

et al. 2024

Cureus

View full text Add to dashboard Cite

We describe a recent case of Coccidioides bioprosthetic aortic valve infective endocarditis successfully managed at our institution. This led us to perform a literature review of endemic fungal infective endocarditis in the United States caused by Coccidioides, Blastomyces, and Histoplasma. Symptoms preceded infective endocarditis diagnosis by several months. Patients with Coccidioides and Blastomyces infective endocarditis were younger with fewer comorbid conditions. Valvular involvement was relatively uncommon in Blastomyces infective endocarditis (27%). Fungemia was noted in patients with infective endocarditis due to Histoplasma (30%) and Coccidioides (18%). Mortality rates for infective endocarditis were high (Histoplasma, 46%; Coccidioides, 58%; Blastomyces, 80%); infective endocarditis was commonly diagnosed post-mortem (Coccidioides, 58%; Blastomyces, 89%). Most surviving patients with infective endocarditis (Histoplasma, 79%; Coccidioides, 80%) underwent valve surgery along with prolonged antifungal therapy. The two surviving patients with Blastomyces infective endocarditis received antifungal therapy without surgery.

show abstract

Dermatophytosis of the Hands

Epstein¹

1942

Arch Derm Syphilol

View full text Add to dashboard Cite

Prognostic Significance of Cutaneous Lesions in Coccidioidal Granuloma

Cited by 15 publications

References 1 publication

Endocarditis Caused by Coccidioides Species

Endocarditis Caused by Coccidioides Species

Endemic Fungal Infective Endocarditis Caused by Coccidioides, Blastomyces and Histoplasma Species in the United States

Dermatophytosis of the Hands

Contact Info

Product

Resources

About