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Olivo-Freites C, Gallardo-Huizar OE, Graber CJ, Ikuta K. Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis. IDCases. 2022 Nov 1; 30:e01636.
Coccidioides is a dimorphic fungus that can cause various clinical presentations, mainly pulmonary, skin, musculoskeletal, and in the central nervous system; most reports are in the southwestern area of the USA. We present a case of a young male with a perianal abscess in the absence of any pulmonary or constitutional symptoms. Perianal abscess as initial manifestation is a novel presentation of coccidioidomycosis in the literature.