CTICasesCoccidioidomycosis Presenting as Lobar Pneumonia in a Renal Transplant Patient
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
Consolidation in the right lower lobe, possibly with a small pleural effusion, on chest radiograph. CT confirms lobar pneumonia with air bronchograms. Some suggestion of hematogenous spread into the upper lobe.
Key takeaways
Coccidioidomycosis can present as lobar pneumonia, especially in immunosuppressed patients (e.g., renal transplant recipients). This highlights the need for a broad differential in such patients and the importance of specific diagnostic tests (sputum cultures, PCR, serology) to identify atypical pathogens, leading to appropriate antifungal treatment and prophylaxis.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Diffuse Large B-cell Lymphoma with Myocardial and Pulmonary InvolvementNeoplastic
- Birt-Hogg-Dube Syndrome with Extensive CystsCongenital
- Thymoma with Paraneoplastic Pure Red Cell AplasiaNeoplastic
- Iatrogenic Diaphragmatic Hernia with Recurrent LiposarcomaIatrogenic
- Achalasia with Aspiration PneumoniaOther
- Hidden Lung CancerNeoplastic
- Traumatic Diaphragmatic Rupture and Aortic InjuryTrauma
- Thymic Hyperplasia / Ectopic ThymusArtifact
See all cases from February 26, 2016 →