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Cavitary Coccidioidomycosis Causing Pneumothorax

Cavitary Coccidioidomycosis Causing Pneumothorax▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

A young patient presented with a pneumothorax and pleural fluid. CT revealed a cavitary lesion in the lung with a clear communication to the pleural space.

Key takeaways

Initially suspected to be a primary spontaneous pneumothorax in a young rock climber, subsequent imaging revealed a cavitary lung lesion. A presumptive diagnosis of cavitary coccidioidomycosis was made based on high IgG antibodies to Coccidioides, despite no documented travel history to endemic areas. This case demonstrates an atypical cause of pneumothorax due to a cavitary infection.

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