Evidence map›Paper›PMID 41710067›Full record

ArticleCase reports in infectious diseases2026

Coccidioidomycosis Masquerading as Malignancy: A Case of Mediastinal Mass and Pericardial Effusion in an Immunocompetent Jamaican Male.

Samuel B Governor, Maira Zaidi, Prakash Nepali, Yulia Grigorova, Amali Baissari, Richard Toussaint, Mariam Dabaghyan, Alberto Melendez-Garcia, Rita Jammal

Abstract read
In one paragraph

Article in Case reports in infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Samuel B GovernorInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.ORCID https://orcid.org/0000-0001-6412-7279
Maira ZaidiInternal Medicine Department, Ross University School of Medicine, Bridgetown, Barbados, rossu.edu.
Prakash NepaliInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Yulia GrigorovaInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Amali BaissariInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Richard ToussaintInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Mariam DabaghyanInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Alberto Melendez-GarciaInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.
Rita JammalInternal Medicine Department, St. John's Episcopal Hospital, Far Rockaway, New York City, New York, USA, ehs.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coccidioidomycosis rarely presents as a lung mass, hypereosinophilia, and disseminated pericarditis with pericardial effusion. Even rarer is a case that presents with the constellation of all these findings. We present a case of coccidioidomycosis in an immunocompetent young Jamaican male with all these features, set against an interesting epidemiological context of a likely exposure to coccidioidomycosis spores during an on-foot crossing of the Mexican border into Texas. His treatment course was complicated by declining liver and kidney function due to triazole antifungal therapy, necessitating titration of these doses to tolerable levels. This case highlights the importance of a detailed travel history in unraveling infectious disease diagnoses and underscores the need for high clinical suspicion for coccidioidomycosis, even in patients outside of known endemic regions.

Identifiers

PMID41710067
PMCPMC12910321

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.