1. Disseminated coccidioidomycosis: Monitoring of serologic markers for treatment response
- Author
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Dunja Wilmes, Daniela Schui, Jürgen Held, Sina Ackermann, Udo Geipel, Kai Emrich, Ernst-Joachim Winkelmann, and Volker Rickerts
- Subjects
Coccidioidomycosis ,Endemic mycosis ,travel Related diseases ,Osteomyelitis ,Coccidioides qPCR ,Medicine (General) ,R5-920 ,Biology (General) ,QH301-705.5 - Abstract
We describe a patient with a disseminated coccidioidomycosis. Biomarkers in serum during itraconazole therapy showed a rapid clearing of Coccidioides DNA as detected by PCR. Coccidioides antibody detection by lateral flow assay became negative after one year and decreased from 1:64 to 1:8 in the complement fixation test after two years. The (1 → 3)-ß-D-glucan levels normalised after two years without increase after cessation of antifungal therapy. Biomarkers in serum may guide treatment decisions in disseminated coccidioidomycosis.
- Published
- 2020
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