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Revista chilena de radiología

versión On-line ISSN 0717-9308

Resumen

GONZALEZ DE ARCE A., Julieta; VEGA G., Alejandro  y  AMEZCUA H., María del Carmen. Osteoarticular Coccidioidomicosis. Case Report. Rev. chil. radiol. [online]. 2020, vol.26, n.4, pp.163-167. ISSN 0717-9308.  http://dx.doi.org/10.4067/S0717-93082020000400163.

Coccidioidomycosis is a systemic infection caused by dimorphic fungi Coccidioides immitis or C. posadassi, which is limited to some areas of America. Also known as desert rheumatism or valley fever, coccidioidomycosis is associated with arid and semi-arid climates. We present the clinical case and radiological findings of a 20-year-old patient, with coccidioidomycosis having osteoarticular, pulmonary and lymphatic manifestations. Subacute disseminated coccidioidomycosis occurs in 1% or less of cases. The radiological bone manifestations are foci of osteomyelitis (osteolysis, hypertrophic periostitis, purulent collections in soft tissues and fistulization towards the skin) in diverse locations, but predominantly in the knees, elbows and vertebrae. In the most advanced cases, at the chest level, the radiological findings are fine nodular or multinodular pattern, suppurative or caseous softening, which leads to fistulization and ulceration towards the adyacent skin.

Palabras clave : Desert rheumatism; Osteoarticular coccidioidomycosis; Valley fever.

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