Pulmonary coccidiomycosis masquerading as refractory metastatic Ewing sarcoma

Elliot Stieglitz, Michelle S. Hsiang, Jeffry P. Simko, Shinjiro Hirose, Robert E. Goldsby

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We report the case of a patient who presented with a large pelvic mass, which was biopsy-proven to be Ewing sarcoma. The patient was also found to have 18 pulmonary lesions on a staging CT that were presumed to represent metastatic disease. After induction chemotherapy, a PET/CT scan revealed a marked reduction in his pelvic mass along with improvement in nearly all his pulmonary lesions except 2, which increased in size. The mixed response to chemotherapy was unusual and the decision was made to resect one of the growing lesions. Fungal culture from the excised lesion grew Coccidioides immitis.

Original languageEnglish (US)
JournalJournal of Pediatric Hematology/Oncology
Volume36
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Ewing's Sarcoma
Coccidioides
Lung
Induction Chemotherapy
Biopsy
Drug Therapy
Positron Emission Tomography Computed Tomography

Keywords

  • Coccidioides immitis
  • Coccidiomycosis
  • Ewing sarcoma
  • Infection
  • Metastatic disease
  • Refractory disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Oncology
  • Hematology

Cite this

Pulmonary coccidiomycosis masquerading as refractory metastatic Ewing sarcoma. / Stieglitz, Elliot; Hsiang, Michelle S.; Simko, Jeffry P.; Hirose, Shinjiro; Goldsby, Robert E.

In: Journal of Pediatric Hematology/Oncology, Vol. 36, No. 1, 01.2014.

Research output: Contribution to journalArticle

Stieglitz, Elliot ; Hsiang, Michelle S. ; Simko, Jeffry P. ; Hirose, Shinjiro ; Goldsby, Robert E. / Pulmonary coccidiomycosis masquerading as refractory metastatic Ewing sarcoma. In: Journal of Pediatric Hematology/Oncology. 2014 ; Vol. 36, No. 1.
@article{7792bfa40d36475f9e0a4e8b86ff0bc6,
title = "Pulmonary coccidiomycosis masquerading as refractory metastatic Ewing sarcoma",
abstract = "We report the case of a patient who presented with a large pelvic mass, which was biopsy-proven to be Ewing sarcoma. The patient was also found to have 18 pulmonary lesions on a staging CT that were presumed to represent metastatic disease. After induction chemotherapy, a PET/CT scan revealed a marked reduction in his pelvic mass along with improvement in nearly all his pulmonary lesions except 2, which increased in size. The mixed response to chemotherapy was unusual and the decision was made to resect one of the growing lesions. Fungal culture from the excised lesion grew Coccidioides immitis.",
keywords = "Coccidioides immitis, Coccidiomycosis, Ewing sarcoma, Infection, Metastatic disease, Refractory disease",
author = "Elliot Stieglitz and Hsiang, {Michelle S.} and Simko, {Jeffry P.} and Shinjiro Hirose and Goldsby, {Robert E.}",
year = "2014",
month = "1",
doi = "10.1097/MPH.0b013e318286d4fd",
language = "English (US)",
volume = "36",
journal = "Journal of Pediatric Hematology/Oncology",
issn = "1077-4114",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Pulmonary coccidiomycosis masquerading as refractory metastatic Ewing sarcoma

AU - Stieglitz, Elliot

AU - Hsiang, Michelle S.

AU - Simko, Jeffry P.

AU - Hirose, Shinjiro

AU - Goldsby, Robert E.

PY - 2014/1

Y1 - 2014/1

N2 - We report the case of a patient who presented with a large pelvic mass, which was biopsy-proven to be Ewing sarcoma. The patient was also found to have 18 pulmonary lesions on a staging CT that were presumed to represent metastatic disease. After induction chemotherapy, a PET/CT scan revealed a marked reduction in his pelvic mass along with improvement in nearly all his pulmonary lesions except 2, which increased in size. The mixed response to chemotherapy was unusual and the decision was made to resect one of the growing lesions. Fungal culture from the excised lesion grew Coccidioides immitis.

AB - We report the case of a patient who presented with a large pelvic mass, which was biopsy-proven to be Ewing sarcoma. The patient was also found to have 18 pulmonary lesions on a staging CT that were presumed to represent metastatic disease. After induction chemotherapy, a PET/CT scan revealed a marked reduction in his pelvic mass along with improvement in nearly all his pulmonary lesions except 2, which increased in size. The mixed response to chemotherapy was unusual and the decision was made to resect one of the growing lesions. Fungal culture from the excised lesion grew Coccidioides immitis.

KW - Coccidioides immitis

KW - Coccidiomycosis

KW - Ewing sarcoma

KW - Infection

KW - Metastatic disease

KW - Refractory disease

UR - http://www.scopus.com/inward/record.url?scp=84891828727&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84891828727&partnerID=8YFLogxK

U2 - 10.1097/MPH.0b013e318286d4fd

DO - 10.1097/MPH.0b013e318286d4fd

M3 - Article

C2 - 23588326

AN - SCOPUS:84891828727

VL - 36

JO - Journal of Pediatric Hematology/Oncology

JF - Journal of Pediatric Hematology/Oncology

SN - 1077-4114

IS - 1

ER -