BMJ Case Reports 2012; doi:10.1136/bcr-2012-007436
  • Unusual presentation of more common disease/injury

Iliopsoas coccidioidomycotic abscess with associated intra-abdominal extension in an immunocompetent patient

  1. Leona Ayers3
  1. 1Division of Infectious Diseases, Department of Internal Medicine, The Ohio State University, Columbus, Ohio, USA
  2. 2Department of Surgery, The Ohio State University, Columbus, Ohio, USA
  3. 3Department of Pathology, The Ohio State University, Columbus, Ohio, USA
  1. Correspondence to Dr Bradford McGwire, brad.mcgwire{at}


Exposure to the fungal pathogen Coccidioides immitis in normal hosts causes primarily self-limited pulmonary disease. We report a case of an immunocompetent patient who developed a Coccidioides-associated iliopsoas abscess with rare intra-abdominal dissemination at least one decade after primary exposure in an area endemic for this fungus.

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