Disseminated coccidioidomycosis in an immunocompetent patient: Report of a case and review of the literature

Coccidioidomycosis is endemic to the Southwestern United States as well as parts of Mexico, Central, and South America. Coccidioides infection is typically subclinical or mild and self-limited. Disseminated coccidioidomycosis is uncommon except in immunosuppressed, post-transplant, or pregnant patients. Disseminated coccidioides in immunocompetent individuals is rare. We report a case of a young, apparently immunocompetent, individual who developed disseminated coccidiomycosis diagnosed at the time of a bedside splenectomy for abdominal decompression. Clinical and histological findings are discussed with review of literature.