Medical image of the week: Chronic bilateral fibrocavitary pulmonary coccidioidomycosis
| Autor: | Tarreq Noori, Mohammed Al-Charakh, Andres Alvarez |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
CT scan
medicine.medical_specialty business.industry lcsh:R5-130.5 coccidioidomycosis lcsh:Medical emergencies. Critical care. Intensive care. First aid cavity lcsh:RC86-88.9 valley fever immunocompetent chest x-ray spherule Pulmonary coccidioidomycosis cytology Medicine Radiology tree in bud business lcsh:General works fibrocavitary |
| Zdroj: | Southwest Journal of Pulmonary and Critical Care, Vol 16, Iss 3, Pp 168-169 (2018) |
| ISSN: | 2160-6773 |
| Popis: | No abstract available. Article truncated at 150 words. A 47-year-old Ethiopian immunocompetent male with no past medical history presented with cough and blood tinged sputum for 1 month with no fever, night sweats, or weight loss. Chest X-ray showed bilateral upper lobe cavitary lesions (Figure 1). Computed tomography of the chest showed bilateral upper lobe, multiple thick-walled cavities with associated tree in bud opacities and consolidation in the right lower lobe (Figure 2). TB was ruled out and a bronchoalveolar lavage (BAL) was performed. Cytology on the BAL showed the presence of Coccidioides immitis spherules (Figure 3). Serum coccidioidomycosis by complement fixation 1:64 with positive IgG by immunodiffusion; serum antigen by EIA 0.30; and urine antigen was negative. The patient was started on fluconazole and was discharged with pulmonology follow up. Bilateral cavitary lesions are rare and they can mimic the reactivation of M. tuberculosis, reinforcing the importance of including coccidioidomycosis in the differential diagnosis of bilateral cavitary … |
| Databáze: | OpenAIRE |
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