Pulmonary coccidioidal pseudomycetoma.
Coccidiomycosis is rarely associated with a pulmonary mycetoma. We report a patient with progressive cavitary coccidiomycosis, whose initial radiographic and clinical appearance simulated a mycetoma. Examination of the surgically resected lung showed necrotizing Coccidioides immitis granulomas with spherules and arthroconidialike structures, but no evidence of a mycetoma. We propose the term pulmonary coccidioidal pseudomycetoma as the best descriptor for this patient's clinical, radiographic, pathologic, and microbiologic presentation.
Rodriguez-Cintron
W
W
Department of Pulmonary Medicine, Ben Taub General Hospital, Houston, Texas.
Fraire
A E
AE
Greenberg
S D
SD
Stevens
P M
PM
Stager
C E
CE
D000328:Adult; D003045:Coccidioides / Q000302:isolation & purification*; D003047:Coccidioidomycosis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D008297:Male; D008271:Mycetoma / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D011859:Radiography