<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092022000400249</article-id>
<article-id pub-id-type="doi">10.35366/105797</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coccidioidomicosis en paciente con COVID-19. Reporte de caso en la Unidad de Terapia Intensiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Coccidioidomycosis in a COVID-19 patient. A case report in the Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Coccidioidomicose em paciente com COVID-19. Relato de um caso em Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Armenta Sánchez]]></surname>
<given-names><![CDATA[Kenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco Ambriz]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Tijuana  ]]></institution>
<addr-line><![CDATA[ Baja California Norte]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>36</volume>
<numero>4</numero>
<fpage>249</fpage>
<lpage>253</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092022000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092022000400249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092022000400249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Coccidioidomicosis y COVID-19 están catalogadas como patologías pulmonares primarias. Ambas presentan un cuadro inicial inespecífico; sin embargo, en fases avanzadas pueden requerir hospitalización, apoyo ventilatorio e ingreso a la unidad de terapia intensiva, manifestándose con un síndrome de insuficiencia respiratoria aguda severo.  Caso clínico:  Se describe el caso de una paciente, quien es ingresada a la unidad de terapia intensiva por presentar SIRA severo debido a COVID-19; sin embargo, muestra una evolución tórpida, por lo que se continúa su abordaje diagnóstico; se detectó coccidioidomicosis como enfermedad coexistente. Éste es el primer caso de coinfección COVID-19 coccidioidomicosis reportado en México en una revista de medicina crítica.  Conclusión:  El diagnóstico de coccidioidomicosis es aún más complejo debido a que puede pasar desapercibido, perdiéndose la oportunidad diagnóstica temprana, lo que está relacionado con una mala evolución posterior como sucedió en nuestro caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Coccidioidomycosis and COVID-19 are classified as primary pulmonary pathologies. Both present a nonspecific initial picture, however, in advanced phases they may require hospitalization, ventilatory support and admission to the intensive care unit, manifesting with a severe acute respiratory failure syndrome.  Clinical case:  The case of a female patient who is admitted to the intensive care unit for presenting severe SIRA due to COVID-19 is described, however, she presents a torpid evolution so her diagnostic approach is continued, finding coccidioidomycosis as a finding as coexisting disease. This being the first case reported in Mexico in a critical medicine journal.  Conclusion:  The diagnosis of coccidioidomycosis is even more complex because it can go unnoticed, losing the opportunity for an early diagnosis and this is related to a poor subsequent evolution as it happened in our case.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A coccidioidomicose e a COVID-19 são classificadas como patologias pulmonares primárias. Ambos apresentam um quadro inicial inespecífico, porém, em estágios avançados podem necessitar de internação, suporte ventilatório e internação em unidade de terapia intensiva, manifestando-se com síndrome de insuficiência respiratória aguda grave.  Caso clínico:  Descreve-se o caso de uma paciente do sexo feminino que está internada na unidade de terapia intensiva por apresentar SDRA grave por COVID-19, porém, apresenta evolução tórpida, então sua abordagem diagnóstica é continuada, encontrando como achado Coccidioidomicose como doença coexistente. Este é o primeiro caso relatado no México em uma revista medicina crítica.  Conclusão:  O diagnóstico da Coccidioidomicose é ainda mais complexo, pois pode passar despercebido, perdendo a oportunidade de diagnóstico precoce e isso está relacionado a uma evolução posterior ruim como aconteceu em nosso caso.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coccidioidomicosis]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[endémico]]></kwd>
<kwd lng="es"><![CDATA[coinfección]]></kwd>
<kwd lng="en"><![CDATA[Coccidioidomycosis]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[endemic]]></kwd>
<kwd lng="en"><![CDATA[coinfection]]></kwd>
<kwd lng="pt"><![CDATA[Coccidioidomicose]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[endémico]]></kwd>
<kwd lng="pt"><![CDATA[coinfección]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kollath]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Barker]]></surname>
<given-names><![CDATA[BM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The mysterious desert dwellers: Coccidioides immitis and Coccidioides posadasii, causative fungal agents of coccidioidomycosis]]></article-title>
<source><![CDATA[Virulence]]></source>
<year>2019</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>222-33</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Heidari]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Civelli]]></surname>
<given-names><![CDATA[VF]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Clark]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Munoz]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The coincidence of 2 epidemics, coccidioidomycosis and SARS-CoV-2: a case report]]></article-title>
<source><![CDATA[J Investig Med High Impact Case Rep]]></source>
<year>2020</year>
<volume>8</volume>
<page-range>2324709620930540</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heaney]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Head]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Broen]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Click]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Taylor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Balmes]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coccidioidomycosis and COVID-19 co-infection, United States, 2020]]></article-title>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2021</year>
<volume>27</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1266-73</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Senining]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Goyal]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An acute pulmonary coccidioidomycosis coinfection in a patient presenting with multifocal pneumonia with COVID-19]]></article-title>
<source><![CDATA[J Investig Med High Impact Case Rep]]></source>
<year>2020</year>
<volume>8</volume>
<page-range>2324709620972244</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adams]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lainhart]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of diagnostics for coccidiomycosis]]></article-title>
<source><![CDATA[Clin Microbiol Newsl]]></source>
<year>2021</year>
<volume>43</volume>
<numero>16</numero>
<issue>16</issue>
<page-range>135-41</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Krauth]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Jamros]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Rivard]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Olson]]></surname>
<given-names><![CDATA[NH]]></given-names>
</name>
<name>
<surname><![CDATA[Maves]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Accelerated progression of disseminated coccidioidomycosis following SARS-CoV-2 infection: a case report]]></article-title>
<source><![CDATA[Mil Med [Internet]]]></source>
<year>2021</year>
<volume>186</volume>
<numero>11-12</numero>
<issue>11-12</issue>
<page-range>1254-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adam]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Elliott]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Taljanovic]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The spectrum and presentation of disseminated coccidioidomycosis]]></article-title>
<source><![CDATA[Am J Med]]></source>
<year>2009</year>
<volume>122</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>770-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Voronina]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Prudenti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Castaneda]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tong]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gumpeni]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A cryptic case of coccidioidomycosis masquerading as lung cancer. In: C54. Endemic and unusual fungal infection cases]]></article-title>
<source><![CDATA[Am J Respir Crit Care Med]]></source>
<year>2020</year>
<volume>201</volume>
<page-range>A5480</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Porte]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Valdivieso]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Wilmes]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gaete]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laboratory exposure to Coccidioides: lessons learnt in a non-endemic country]]></article-title>
<source><![CDATA[J Hosp Infect]]></source>
<year>2019</year>
<volume>102</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>461-4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
