CTICasesPulmonary Coccidioidomycosis
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Imaging findings
Pre-operative chest X-ray revealed a cavitary lesion in the left upper lobe. Subsequent CT scan showed a well-defined cavitary lesion with surrounding ground-glass opacities, smudgy infiltrates, and evidence of mucus plugging. Cultures from bronchoalveolar lavage grew Coccidioides.
Key takeaways
Coccidioidomycosis (Valley Fever) is a fungal infection endemic to certain regions, often affecting avid hikers or travelers. It can present with pulmonary cavitation and surrounding inflammatory changes, mimicking tuberculosis or other fungal infections. Early diagnosis through cultures is crucial for appropriate antifungal treatment, even if the patient's symptoms are mild or intermittent.
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