Simultaneous tuberculosis and coccidioidomycosis in end stage renal disease

During a ten year period, tuberculosis and coccidioidomycosis occurred in less than one and three percent respectively of 380 patients who had received dialysis and renal transplants in Southern Arizona. In two patients, who were immunosuppressed by diabetes, renal failure, and inanition, these infections were concurrent and diagnosis was delayed. Because the occurrence of both illnesses in two patients is unlikely by chance alone and because both infections were present when symptoms developed, potentiation of one infection by the other may have occurred.