Cutaneous Coccidioidomycosis Mimicking Rosacea in Immunosuppressed Patient, Arizona, USA, 2024
An immunocompromised patient in Arizona, USA, experienced cutaneous coccidioidomycosis mimicking rosacea-like dermatitis; she was receiving vandetanib therapy. Histopathology confirmed the diagnosis despite inconclusive serologic results. Lesions resolved with fluconazole treatment, but blue-gray hyperpigmentation persisted, likely linked to vandetanib. This case highlights diagnostic challenges in endemic fungal infections and rare drug-associated hyperpigmentation.
Authors
- Kim M. Hiatt (ORCID: https://orcid.org/0000-0003-3214-4917)
- Lauren Murphy (ORCID: https://orcid.org/0000-0001-8707-6515)
- Robert E. Cashman
- Aleksi J. Hendricks (ORCID: https://orcid.org/0000-0003-3448-5555)
- Sabine Obagi (ORCID: https://orcid.org/0000-0002-1372-3991)
- Mohammad Reza Fazel (ORCID: https://orcid.org/0000-0001-5944-9230)
- Allen P. Miraflor (ORCID: https://orcid.org/0000-0001-9985-6551)
Publication Details
- Journal
- Emerging infectious diseases
- Published
- 2025-09-30
- DOI
- https://doi.org/10.3201/eid3110.250010
- Citations
- 1
- Primary Topic
- Fungal Infections and Studies
- Type
- article
- Field-Weighted Citation Impact
- 1.35