title: [A case of pulmonary coccidioidomycosis].
abstract: A 32-year-old Japanese woman who had been living in Arizona, United States since two years previously was admitted to our hospital because of an abnormal shadow. Her chest X-ray films revealed a small cavity in the right middle lung field which had not been identified two years ago. The chest CT showed that it was 15 mm in diameter and located in the right S6, and open lung biopsy was performed. Histological examination revealed caseous lesion of the epithelioid granulomas, that contained spherulitic forms of endospores. Fungal cultures demonstrated barrel-shaped arthroconidia. A diagnosis of pulmonary coccidioidomycosis was made.
authors.affiliation: 2nd Department of Internal Medicine and Respiratory Medicine, Nagano Red Cross Hospital.
authors.forename: Ayako
authors.initials: A
authors.lastname: Minamisawa
authors.forename: Kaneyuki
authors.initials: K
authors.lastname: Furihata
authors.forename: Atsuhito
authors.initials: A
authors.lastname: Ushiki
authors.forename: Toshihide
authors.initials: T
authors.lastname: Wakamatsu
authors.forename: Shigeru
authors.initials: S
authors.lastname: Koyama
mesh_terms: D000328:Adult; D003045:Coccidioides / Q000302:isolation & purification; D003047:Coccidioidomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography