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Coccidioidomycosis and Neck Mass 'Single Lesion' Disseminated Disease
James E. Dudley, MD
Arch Otolaryngol Head Neck Surg. 1987;113(5):553-555.
Abstract
• Coccidioidomycosis is a fungal disease endemic to parts of the southwestern United States, parts of Mexico, and parts of Central and South America. Headache and sore throat may be primary manifestations of the disease in its nondisseminated form, and laryngeal involvement has been reported. Except for the very rare appearance of supraclavicular nodes, neck nodes have not been previously reported. In two patients, a neck mass was the only manifestation of disease. In the first patient, excision was curative; in the second, treatment with ketoconazole resulted in cure. These two patients represent an example of "single lesion" disseminated disease. Coccidioidomycosis should be added to the list of causes of neck masses.
(Arch Otolaryngol Head Neck Surg 1987;113:553-555)
Author Affiliations
From the Department of Surgery/Head and Neck Surgery, UCLA.
Footnotes
Accepted for publication Aug 26, 1986.
Presented as a poster at the 13th World Congress of Otorhinolaryngology, Miami, May 26-31, 1985.
Reprint requests to UCLA Medical Center, Room 62-158, Los Angeles, CA 90024 (Dr Dudley).
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