{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:12:53Z","timestamp":1765368773003,"version":"3.40.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Skeletal coccidioidomycosis is extremely rare and in the non-endemic areas, diagnosis is often delayed or missed resulting in extensive and unnecessary medical investigation for other diseases. The authors report a case of disseminated skeletal coccidioidomycosis in a previously healthy person living in a non-endemic area, who was initially thought to have a malignancy. Due to the presence of multiple expansile lytic bone lesions on x-rays and CT scan, an extensive investigation for malignancy was done. Diagnosis of coccidioidomycosis was made when H&amp;E and Gomori\u2019s methenamine silver staining of a bone biopsy sample revealed multiple fungal spherules, which were confirmed to be<jats:italic>Coccidioides immitis<\/jats:italic>by culture and PCR. On questioning, the patient admitted to have spent 2 weeks in Arizona (an endemic area) few months ago. He was discharged home on long-term fluconazole. At 1 month clinical follow-up, a significant improvement in his lesions was noticed.<\/jats:p>","DOI":"10.1136\/bcr.12.2011.5357","type":"journal-article","created":{"date-parts":[[2012,2,28]],"date-time":"2012-02-28T14:19:33Z","timestamp":1330438773000},"page":"bcr1220115357","source":"Crossref","is-referenced-by-count":7,"title":["Coccidioidomycosis masquerading as malignancy"],"prefix":"10.1136","volume":"2012","author":[{"given":"Natasha Purai","family":"Arora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikas","family":"Taneja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"ReyesSacin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravinder","family":"Bhanot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suganthini Krishnan","family":"Natesan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,2,28]]},"reference":[{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1293497"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2010.02.041"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1293493"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.4","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1097\/SMJ.0b013e3180487a92","article-title":"Blastomycosis of bones and joints.","volume":"100","author":"Oppenheimer","year":"2007","journal-title":"South Med J"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.5","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.7013"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(02)00040-5"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.7","doi-asserted-by":"publisher","DOI":"10.1086\/496991"},{"key":"2025042701351919000_2012.feb25_1.bcr1220115357.8","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-133-9-200011070-00009"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.12.2011.5357","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T08:35:30Z","timestamp":1745742930000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.12.2011.5357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,28]]},"references-count":8,"alternative-id":["10.1136\/bcr.12.2011.5357"],"URL":"https:\/\/doi.org\/10.1136\/bcr.12.2011.5357","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,2,28]]}}}