Emerging Infectious Disease ISSN: 1080-6059

Disseminated Coccidioidomycosis

Cheng-Yi Wang*, Jih-Shuin Jerng*, Jen-Chung Ko†, Ming-Feng Lin†, Cheng-Hsiang Hsiao*, Li-Na Lee*, Po-Ren Hsueh*

, and Sow-Hsong Kuo*

Author affiliations: *National Taiwan University Hospital, Taipei, Taiwan; †Hsin-Chu General Hospital, Hsinchu, Taiwan

Figure

A) Chest radiograph shows diffuse nodular lesions in both lungs. B) Chest radiographic scan taken 2 months later shows coalescence of nodular shadows and almost complete white-out of bilateral lung fields. C) Hematoxylin and eosin staining of the wound specimen from pleural biopsy site showed spherules of Coccidioides immitis and chronic necrotizing granulomatous inflammation (400x).

Figure. A) Chest radiograph shows diffuse nodular lesions in both lungs. B) Chest radiographic scan taken 2 months later shows coalescence of nodular shadows and almost complete white-out of bilateral lung fields. C) Hematoxylin and eosin staining of the wound specimen from pleural biopsy site showed spherules of Coccidioides immitis and chronic necrotizing granulomatous inflammation (400x).

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