VERNON J. WYBORNEY, M.D.; DEMOSTHENES PAPPAGIANIS, M.D.; JOHN STEELQUIST, M.D.
To the editor: Bronchopleural fistulae may be observed in coccidioidomycosis, particularly in connection with pulmonary cavitation (1). These fistulae do not necessarily connote a dismal outlook, with dissemination of the infection, although the local consequences can be very challenging.
The occurrence of cutaneous lesions and draining sinus tracts, perhaps from lumbar abscesses (2) as shown by contrast medium, reflects metapulmonary dissemination of the disease. We report the unusual occurrence of a combination of the above complications with fistulae extending from lumbar or gluteal area to the trachea in two patients.
Case 1. A 46-year-old Mexican-Irish male farmer had an influenza-like
WYBORNEY VJ, PAPPAGIANIS D, STEELQUIST J. Bronchogluteal Fistula in Coccidioidomycosis. Ann Intern Med. ;81:401–402. doi: 10.7326/0003-4819-81-3-401
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Published: Ann Intern Med. 1974;81(3):401-402.
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