{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T21:35:38Z","timestamp":1757540138844,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,7,7]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Coccidioidomycosis is known to occur around the western hemisphere. In tropical countries, the clinical presentation is atypical presenting with a superficial abscess preceded by respiratory tract involvement often mimicking tuberculosis. Eliciting a history of exposure and high suspicion is imperative for early diagnosis.<\/jats:p>\n               <jats:p>In the present case report, a man in his early 30s presented with complaints of swelling over the neck for the past 2\u2009months with a recent travel history. With a provisional clinical diagnosis of tuberculosis, a biopsy of the swelling revealed features of granulomas with non-caseating necrosis with Coccidioidomycosis organisms demonstrated by fungal stains. Fungal culture and serology reiterated Coccidioides and he recovered after a course of fluconazole.<\/jats:p>\n               <jats:p>The case report concludes with a statement that Coccidioidomycosis is known to manifest with lymphadenitis mimicking tuberculosis and must be taken into account as one of the differentials. The current report is presented for its rarity in India with atypical presentation.<\/jats:p>","DOI":"10.1136\/bcr-2022-253740","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T22:00:36Z","timestamp":1689717636000},"page":"e253740","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Coccidioidomycosis lymphadenopathy: an unusual presentation"],"prefix":"10.1136","volume":"16","author":[{"given":"Keerthika","family":"Sri","sequence":"first","affiliation":[{"name":"Sri Balaji Vidyapeeth, Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anandraj","family":"Vaithy","sequence":"additional","affiliation":[{"name":"Sri Balaji Vidyapeeth, Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanmugasamy","family":"Kathirvelu","sequence":"additional","affiliation":[{"name":"Sri Balaji Vidyapeeth, Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sowmya","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Sri Balaji Vidyapeeth, Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,18]]},"reference":[{"key":"2025082712264901000_16.7.e253740.1","doi-asserted-by":"crossref","unstructured":"Galgiani JN . Coccidioides species. In: Mandell GL , Bennet JE , Dolin R , eds. Principles and practice of infectious diseases. 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