Disseminated coccidioidomycosis: Monitoring of serologic markers for treatment response.

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.

SUBMITTER: Wilmes D 

PROVIDER: S-EPMC7292894 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature