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Case Reports
. 2014 Nov 24:2014:bcr2014206380.
doi: 10.1136/bcr-2014-206380.

Pleural coccidioidomycosis

Timothy M Saettele  1 , Carlos A Jimenez  1
Affiliations
Case Reports

Pleural coccidioidomycosis

Timothy M Saettele et al. BMJ Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
(A) Integrated positron emission tomography-CT scan showing increased metabolic activity in a right middle lobe nodule (arrow) and subcarinal and right hilar lymph nodes. (B) Chest CT scan performed 4 months later demonstrates a new large right pleural effusion and a stable right middle lobe nodule (arrow).
Figure 2
Figure 2
Pleuroscopic views of nodular studding along (A) the diaphragm (*), lateral parietal pleura and (B) posterior parietal pleura. The pleura appears thickened and erythematous.
Figure 3
Figure 3
(A) Photomicrographs of parietal pleura biopsy specimens stained with (A) H&E and (B) Gomori methenamine silver. Granulomatous inflammation is seen surrounding spherules of Coccidioides. Close examination reveals endospores present in the spherules.
See this image and copyright information in PMC

References

    1. Johnson RH, Caldwell JW, Welch G et al. . The great coccidioidomycosis epidemic: clinical features. Paper presented at Proceedings of the 5th International Conference; 24–27August 1994; Palo Alto, CA.Bethesda: National Foundation for Infectious Diseases; 1996. p. 77–87.
    1. Spinello IM, Munoz A, Johnson RH. Pulmonary coccidioidomycosis. Semin Respir Crit Care Med 2008;29:166–73. - PubMed