Vol. 42 No. 3 (2025): Junio
Clinical Case

Coccidioidomycosis in Peru: an imported case

Sebastian Alcalde Ochoa
Universidad Peruana Cayetano Heredia
Milagros Marleny Quispe Mendoza
Universidad Peruana Cayetano Heredia
Jim Brian Valenzuela Medina
Hospital Nacional Cayetano Heredia
Carlos Javier McFarlane Pecol
Hospital Nacional Cayetano Heredia
Carlos Rafael Seas Ramos
Instituto de Medicina Tropical “Alexander von Humboldt”, Hospital Nacional Cayetano Heredia
Una Salud

Published 2025-07-04

How to Cite

1.
Alcalde Ochoa S, Quispe Mendoza MM, Valenzuela Medina JB, McFarlane Pecol CJ, Seas Ramos CR. Coccidioidomycosis in Peru: an imported case. Rev. Chilena. Infectol. [Internet]. 2025 Jul. 4 [cited 2026 Apr. 30];42(3). Available from: https://revinf.cl/index.php/revinf/article/view/2252

Abstract

Coccidioides spp. is a fungus transmitted by inhalation of environmental arthroconidia from arid or semiarid areas. Although cases of coccidioidomycosis have been reported in South America, the lack of epidemiological surveillance and the asymptomatic nature of many cases make it difficult to estimate its prevalence in the region. We report the first case of coccidioidomycosis in Peru, apparently acquired in the United States. The patient was initially evaluated for fever of unknown origin. Histopathology of lung biopsy confirmed the diagnosis of coccidioidomycosis. He was treated with fluconazole, with a remarkable clinical improvement of the patient. This case highlights the importance of considering coccidioidomycosis in the differential diagnosis of FUO, especially in patients with a history of travel to endemic areas