Abstract
Key Clinical MessageEndemic fungal infections can present atypically and should be considered in the differential diagnosis of any soft tissue infection not responding appropriately to antibiotic therapy. Diagnosis can be confirmed with a biopsy. Most fungal soft tissue infections require extended duration of treatment.
Highlights
Patient is a 61-year-old male from southern New Mexico who presented with complaints of swelling, itching, and pain around his beard. He was diagnosed with pseudofolliculitis barbae and prescribed antibiotics
Antibiotics were prescribed again, and he was referred to a dermatologist who continued antibiotics plus added oral steroids
C. immitis is an endemic fungal infection found in the southwest United States, but usually presents as a self-limited respiratory illness due to inhalation of arthroconidia
Summary
Coccidioides immitis soft tissue infection mimicking pseudofolliculitis barbae Wendy Gerstein1 & Valeria Ilieva2 Correspondence Wendy Gerstein, Department of Internal Medicine, New Mexico VA Health Care Service/University of New Mexico, 1501 San Pedro Ave, SE, Albuquerque, 87108 NM. Endemic fungal infections can present atypically and should be considered in the differential diagnosis of any soft tissue infection not responding appropriately to antibiotic therapy.
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