Abstract

This study presents a case of pulmonary coccidioidomycosis that manifested as recurrent episodes of diabetic ketoacidosis (DKA) in a patient with diabetes mellitus. Pulmonary coccidioidomycosis, caused by the fungus Coccidioides spp., is known to primarily affect the lungs and can lead to a wide range of clinical presentations, including respiratory symptoms and systemic manifestations. In this case, the patient's respiratory symptoms were initially attributed to underlying diabetes mellitus. However, further investigation revealed pulmonary coccidioidomycosis as the underlying cause. The association between coccidioidomycosis and DKA is not well documented, and this case highlights the importance of considering fungal infections as potential triggers for metabolic decompensation in patients with diabetes mellitus, particularly in endemic areas. Early recognition and appropriate management of pulmonary coccidioidomycosis are crucial to prevent complications and improve patient outcomes.