Primary Cutaneous Coccidioidomycosis: Clinical Case Report and Discussion

Coccidiomycosis is a rare fungal infection which usually affects only the lungs. Involvement of the skin by the causative fungus is very rare. Depending on the organ of primary infection, cutaneous involvement can be sub grouped into two types a) primary and b) secondary. Primary cutaneous infection is extremely rare and usually occurs when Coccidioides inoculates traumatized skin. In this article we report a case of the primary cutaneous coccidiomycosis of the nose. To our knowledge this is only second reported case of the primary infection of the skin of the nose by Coccidioides and first reported case of primary cutaneous coccidiomycosis of the nasal alae. (1)