Peritoneal XXXX : a Rare Case Report and Review of the Literature.

@entity1 @entity6378 @entity364 @entity358 @entity490 @entity272 @entity6656 @entity8662 @entity298
@entity6656 is a @entity364 endemic to the southwestern United States that typically causes a self-limited @entity358 . Extrapulmonary dissemination is extremely rare and typically localized to the skin, bone, and meninges. The gastrointestinal system has generally been thought to be spared from this disease. This report describes a @entity1 who was initially diagnosed with @entity358 with @entity272 . Ten months after completion of treatment, he presented with nonspecific @entity490 and diffuse musculoskeletal and constitutional symptoms. Radiographic imaging revealed near resolution of previously noted thoracic findings but new peritoneal thickening and enhancement suggestive of @entity298 . Laparoscopic biopsies confirmed @entity8662 by culture and histology without evidence of other abnormalities. This case is unique for several reasons. It is one of a relatively small number of cases that describes a diagnosis of peritoneal @entity6656 and the first case identified in which a healthy @entity1 developed extensive @entity6378 in spite of near-complete resolution of pulmonary and skin manifestations after appropriate treatment. This case underscores the complexity of this disease and motivates more investigation into pathophysiology and treatment considerations of @entity6656 in the gastrointestinal system. We will review the risk factors associated with dissemination, the interpretation of serologies, the characteristics of @entity1 with peritoneal involvement, and finally, the current treatment guidelines.
