Abstract

CRUZ-BARBOSA, Jhoan Sebastian; VALENCIA-CARDONA, Andrés Felipe  and  CORTES-BUELVAS, Armando Daniel. Periampullary Mass as an Unusual Manifestation of Coccidioidomycosis. Case Report and Literature Review. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.3, pp.373-377.  Epub Jan 18, 2024. ISSN 0120-9957.  https://doi.org/10.22516/25007440.965.

In Colombia, coccidioidomycosis is a rare entity, and the intestinal manifestation is infrequent, with around a dozen cases reported in the world literature. This article reports the case of a 29-year-old male Venezuelan immigrant with a 4-month history of abdominal pain, jaundice, nausea, and vomiting. The tomography and the endoscopic study revealed a circumferential exophytic mass in the second portion of the duodenum. The biopsy revealed multiple spherules filled with round fungal endospores with a final diagnosis of disseminated coccidioidomycosis. The patient was discharged before the final pathology report with fluconazole doses of 200 mg every other day and an order for outpatient magnetic resonance cholangiography for outpatient follow-up, which he has not attended.

Keywords : Coccidioides; Colombia; disseminated mycosis; jaundice; systemic mycosis; periampullary tumor.

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