CTICasesDisseminated Coccidioidomycosis with ARDS
Imaging findings
Sequential chest radiographs and CT in a 23-week pregnant woman of Central American origin demonstrate progressively worsening bilateral miliary-to-confluent micronodular infiltrates, progressing to ARDS-like consolidation over two months, with coexisting skin ulcers. CT shows coalescent upper lobe predominant micronodules with developing traction bronchiectasis consistent with organizing phase of acute lung injury.
Key takeaways
Disseminated coccidioidomycosis is a potentially fatal complication of Coccidioides infection, occurring at a dramatically increased rate during pregnancy due to immunosuppression. It can present with miliary pulmonary nodules that coalesce and cause ARDS. The diagnosis should be strongly suspected in individuals from endemic regions (Southwest US, Central/South America) presenting with progressive respiratory failure, especially in pregnancy.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Subcutaneous Defibrillation Lead for Inadequate Defibrillation ThresholdIatrogenic
- Post-Intubation Tracheal Stenosis in the Setting of Stevens-Johnson SyndromeIatrogenic
- Anomalous Systemic Arterial Supply to a Normal LungCongenital
- EVALI (Two Cases with Peribronchovascular Sparing)Exposure
- Allergic Bronchopulmonary Aspergillosis (ABPA) with Chronic Eosinophilic PneumoniaInflammatory
- Left Hemidiaphragm Eventration Treated with PlicationOther
- Pulmonary Light-Chain (AL) Amyloidosis with Progressive Bullous EmphysemaMetabolic
- Endobronchial Carcinoid at the Right Main Stem Bronchus OriginNeoplastic
See all cases from March 12, 2021 →
Related Infection cases
- Pulmonary Nocardia nova Infection in an Immunocompetent Host
- Disseminated Blastomycosis with Miliary Pattern
- Histoplasmosis Lymphadenitis with Milk of Calcium
- Pneumocystis jirovecii Pneumonia (PCP) in a Rheumatoid Arthritis Patient on Adalimumab
- Rhinovirus Pneumonia in a Lung Transplant Recipient
- Tuberculous Esophago-Lymph-Node Fistula