Peritoneal coccidioidomycosis: Case report and review

Peritonitis is an unusual extrapulmonary manifestation of coccidioidomycosi s. Peritoneal involvement often has an indolent course and may resolve spon taneously. Optimal management has not been defined; however, fluconazole's spectrum of activity, pharmacokinetic profile, and efficacy in dialysis-rel ated yeast peritonitis suggest that it may be an effective treatment. To ou r knowledge, we report the first case of coccidioidal peritonitis treated w ith fluconazole and review the literature.