{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:19:10Z","timestamp":1784251150561,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>\n                    Coccidioidomycosis, endemic in the southwestern United States, can lead to severe pulmonary complications, particularly in chronic obstructive pulmonary disease (COPD) patients with poor lung reserves.\n                    <jats:italic toggle=\"yes\">Mycobacterium abscessus<\/jats:italic>\n                    has a predisposition for structurally damaged lungs, commonly causing difficult-to-treat bronchiectasis and cavitary lesions. We present the case of a 58-year-old patient with advanced COPD and a remote history of pulmonary coccidioidomycosis diagnosed 30 years earlier, who was found to have sputum and radiographic evidence of\n                    <jats:italic toggle=\"yes\">M. abscessus<\/jats:italic>\n                    cavitary lung disease 4\u2009years prior to admission, but was lost to follow-up. The current presentation is attributed to the progression of untreated\n                    <jats:italic toggle=\"yes\">M. abscessus<\/jats:italic>\n                    infection and reactivation of latent\n                    <jats:italic toggle=\"yes\">Coccidioides<\/jats:italic>\n                    infection. Despite the initiation of antifungal and antibiotic therapy, the subsequent course was complicated by the development of bronchopleural fistula and worsening respiratory failure, leading to an unfavorable outcome. This case highlights the diagnostic challenges associated with overlapping clinical and radiologic features of concurrent infections and devastating outcomes in patients with COPD. Prompt diagnostic testing and prolonged comprehensive therapy are of paramount importance in managing such complex infections.\n                  <\/jats:p>","DOI":"10.1177\/23247096251334229","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T07:14:07Z","timestamp":1745824447000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Concurrent Coccidioidomycosis and\n                    <i>Mycobacterium abscessus<\/i>\n                    Infection in Chronic Obstructive Pulmonary Disease"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3906-480X","authenticated-orcid":false,"given":"Lakshmi","family":"Kattamuri","sequence":"first","affiliation":[{"name":"Texas Tech University Health Sciences Center El Paso, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelica","family":"Zambrano","sequence":"additional","affiliation":[{"name":"Paul L. Foster School of Medicine, El Paso, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sparsha Reddy","family":"Duvvuru","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center El Paso, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5720-0706","authenticated-orcid":false,"given":"Kunal","family":"Sharma","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center El Paso, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhizith","family":"Deoker","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center El Paso, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"217","article-title":"Increase in reported coccidioidomycosis\u2014United States, 1998-2011","volume":"62","author":"Centers for Disease Control and Prevention (CDC)","year":"2013","unstructured":"Centers for Disease Control and Prevention (CDC). Increase in reported coccidioidomycosis\u2014United States, 1998-2011. MMWR Morb Mortal Wkly Rep. 2013;62:217-221.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2017.04.005"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0950268820002836"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201503-126AW"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201506-1122OC"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-37350-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186826"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3909-3"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.02.013"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41579-020-0331-1"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tube.2023.102303"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.4046\/trd.2016.79.2.74"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid3005.231624"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)60632-7"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.3138\/jammi-2022-0028"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofae454"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00798-2019"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000126762.91040.fd"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1684-1182(10)60063-1"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2021200071"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.181.2.1810513"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw360"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa241"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31821c1df6"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2010.03328.x"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202003-222CME"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096251334229","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096251334229","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096251334229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:04:24Z","timestamp":1777449864000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096251334229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":26,"alternative-id":["10.1177\/23247096251334229"],"URL":"https:\/\/doi.org\/10.1177\/23247096251334229","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,28]]},"article-number":"23247096251334229"}}