• Users Online: 955
  • Print this page
  • Email this page
Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 96-99

Primary cutaneous coccidioidomycosis in a human immunodeficiency virus-positive patient: Case report and literature review

1 Department of Medicine, College of Medical Sciences, University Maiduguri, Maiduguri, Borno State, Nigeria
2 Department of Histopathology, College of Medical Sciences, University Maiduguri, Maiduguri, Borno State, Nigeria

Correspondence Address:
Ballah Akawu Denue
Department of Medicine, College of Medical Sciences, University of Maiduguri, Maiduguri
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/atp.atp_66_18

Get Permissions

Coccidioidomycosis is a recognized opportunistic infection among persons infected with human immunodeficiency virus (HIV). Compared with immunocompetent persons, HIV-infected patients are at risk of symptomatic and progressive disease since the control of coccidioidal infection requires intact cellular immune function. We report a case of a 28-year-old HIV positive woman, who presented with 3 months' history of widespread pruritic hyperpigmented nodular skin lesions. The histopathological evaluation of excisional biopsy was consistent with cutaneous coccidioidomycosis. Chest X-ray showed no lesion in the lung. Abdominopelvic ultrasound revealed no abnormality. The patient had end-stage HIV disease (AIDS) with CD4 lymphocyte cell count of 66 cells/μL, and HIV-1 RNA viral load of 128,763 copies/ml. Even though up to 50% of patients with coccidioidomycosis could develop cutaneous involvement, this tends to occur following pulmonary and or systemic disease. Primary cutaneous coccidioidomycosis is rare, and this possibility should be considered in the evaluation of HIV-positive patients, even in nonendemic areas of the world.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded118    
    Comments [Add]    

Recommend this journal