{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:01:49Z","timestamp":1769583709325,"version":"3.49.0"},"reference-count":1,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2007,10,16]],"date-time":"2007-10-16T00:00:00Z","timestamp":1192492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2007,10,16]],"date-time":"2007-10-16T00:00:00Z","timestamp":1192492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respiration"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>Though peripheral eosinophilia commonly accompanies infection with &lt;i&gt;Coccidioides immitis&lt;\/i&gt;, pulmonary eosinophilia in patients with &lt;i&gt;C. immitis&lt;\/i&gt; and multilobar infiltrates has been reported in only three prior cases to our knowledge. To enhance clinicians\u2019 suspicion of an unusual complication of &lt;i&gt;C. immitis&lt;\/i&gt; pneumonia and the treatment implications, we present a patient with an initial diagnosis of acute eosinophilic pneumonia [based on bronchoalveolar lavage (BAL) fluid analysis and transbronchial biopsy] followed several days later by a diagnosis of accompanying &lt;i&gt;C. immitis&lt;\/i&gt; pneumonia when BAL fluid cultures grew fungus. In keeping with the suspicion of acute eosinophilic pneumonia, the patient responded dramatically to corticosteroids before antifungal therapy was initiated. This patient with pulmonary eosinophilia complicating &lt;i&gt;C. immitis&lt;\/i&gt; pneumonia extends earlier reports of a hypersensitivity-like reaction to &lt;i&gt;C. immitis&lt;\/i&gt; pneumonia and, based on the dramatic acute clinical response, reminds clinicians of the potential adjunctive role of corticosteroids. At the same time, the possible adverse effects of using corticosteroids in patients with fungal disease warrants caution and close follow-up in patients for whom steroids are prescribed.<\/jats:p>","DOI":"10.1159\/000109977","type":"journal-article","created":{"date-parts":[[2007,10,18]],"date-time":"2007-10-18T10:17:56Z","timestamp":1192702676000},"page":"102-106","source":"Crossref","is-referenced-by-count":25,"title":["Acute Eosinophilic Pneumonia Complicating &lt;i&gt;Coccidioides immitis&lt;\/i&gt; Pneumonia: A Case Report and Literature Review"],"prefix":"10.1159","volume":"77","author":[{"given":"Justin","family":"Swartz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James K.","family":"Stoller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2007,10,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1378%2Fchest.91.5.734"}],"container-title":["Respiration"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/109977","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/109977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:00:10Z","timestamp":1745460010000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000109977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10,16]]},"references-count":1,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,1,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000109977","archive":["Portico"],"relation":{},"ISSN":["0025-7931","1423-0356"],"issn-type":[{"value":"0025-7931","type":"print"},{"value":"1423-0356","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10,16]]}}}