Surgical management of coccidioidomycosis in children.

Abstract:

BACKGROUND/PURPOSE:Operations for Coccidioides immitis infection in children have received little study. The authors perceived an increase in the number of patients requiring operations for coccidioidomycosis at Phoenix Children's Hospital. The authors therefore reviewed the surgical management of children with C immitis infection in Phoenix, Arizona. METHODS:The medical records of all children hospitalized from 1994 to 1999 with a confirmed laboratory diagnosis of coccidioidomycosis were reviewed. Age, gender, race, immune status, laboratory data, operations, and outcome were recorded. RESULTS:Of 39 children with proven coccidioidomycosis, 21 patients (54%) underwent a total of 49 operations. Boys represented 72% of all children reviewed. Sixteen patients (29% of the operative cohort) were immunocompromised. Thoracic procedures (19 cases) were most frequent. CONCLUSIONS:Over half the children hospitalized for coccidioidomycosis required at least 1 operation. Most were immunocompetent boys with thoracic disease. Pediatric surgeons, who provide the bulk of operative care, should expect to encounter coccidioidomycosis in endemic areas, and increasingly in nonendemic areas.

journal_name

J Pediatr Surg

authors

Connelly MB,Zerella JT

doi

10.1053/jpsu.2000.18339

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

1633-4

issue

11

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(00)21202-5

journal_volume

35

pub_type

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