Primary coccidioidomycosis in children presenting with massive pleural effusion

Large pleural effusion as the presenting feature of coccidioidomycosis in childhood has not previously been reported and may cause significant diagnostic difficulty. Three children are described who required prolonged hospitalization and therapy with amphotericin B. Primary coccidioidomycosis should be included in the differential diagnosis of large pleural effusions in pediatric patients who have been in the endemic area. Such effusions suggest a severe form of the disease and may represent evidence of acute dissemination.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?