{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:55:53Z","timestamp":1740164153110,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Coccidioidomycosis (valley fever) is caused by the dimorphic fungi<jats:italic>Coccidioides immitis<\/jats:italic>or<jats:italic>Coccidioides posadasii<\/jats:italic>. Most infections are asymptomatic or result in self-limited pneumonia; extrapulmonary dissemination via either hematogenous or lymphatic spread is rare. Here, we present a case of cervical<jats:italic>C. immitis<\/jats:italic>lymphadenitis that resulted in fistula formation to the esophagus via mediastinal extension. This case highlights a very unusual extrapulmonary manifestation of coccidioidomycosis, the difficulty in diagnosing coccidioidal infection when it is not suspected, and the importance of obtaining a thorough exposure history to assist with diagnosis.<\/jats:p>","DOI":"10.1155\/2016\/8715405","type":"journal-article","created":{"date-parts":[[2016,5,23]],"date-time":"2016-05-23T17:03:24Z","timestamp":1464023004000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["<i>Coccidioides immitis<\/i>Cervical Lymphadenitis Complicated by Esophageal Fistula"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4103-2004","authenticated-orcid":true,"given":"Michael","family":"Loudin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Oregon Health and Science University, Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3296-4926","authenticated-orcid":true,"given":"Daniel R.","family":"Clayburgh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1214-9609","authenticated-orcid":true,"given":"Morgan","family":"Hakki","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Oregon Health and Science University, Portland, OR 97239, USA"},{"name":"Division of Infectious Diseases, Oregon Health and Science University, Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"first-page":"3040","volume-title":"Coccidioides species","year":"2005","key":"1"},{"issue":"9","key":"2","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1086\/496991","volume":"41","year":"2005","journal-title":"Clinical Infectious Diseases"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199504203321607"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1987.01860050099025"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000147916.35992.e7"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1177\/000348940311200118"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2011.10.002"},{"issue":"3","key":"8","first-page":"422","volume":"38","year":"1994","journal-title":"Acta Cytologica"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(81)80695-6"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1439-0507.2003.00833.x"},{"issue":"10","key":"11","first-page":"473","volume":"65","year":"1986","journal-title":"Ear, Nose and Throat Journal"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.12-0561"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2016\/8715405.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2016\/8715405.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2016\/8715405.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T10:38:20Z","timestamp":1498300700000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criid\/2016\/8715405\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":12,"alternative-id":["8715405","8715405"],"URL":"https:\/\/doi.org\/10.1155\/2016\/8715405","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"type":"print","value":"2090-6625"},{"type":"electronic","value":"2090-6633"}],"subject":[],"published":{"date-parts":[[2016]]}}}