title: Pulmonary coccidioidal pseudomycetoma.
abstract: 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.
authors.affiliation: Department of Pulmonary Medicine, Ben Taub General Hospital, Houston, Texas.
authors.forename: W
authors.initials: W
authors.lastname: Rodriguez-Cintron
authors.forename: A E
authors.initials: AE
authors.lastname: Fraire
authors.forename: S D
authors.initials: SD
authors.lastname: Greenberg
authors.forename: P M
authors.initials: PM
authors.lastname: Stevens
authors.forename: C E
authors.initials: CE
authors.lastname: Stager
mesh_terms: 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