Difference between revisions of "Case 54"

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4 bytes removed ,  07:21, 1 September 2014
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===Provided clinical history===
===Provided clinical history===
46 year old man,  fever, cough, headaches, rash, myalgia, and arthralgia
46 year old man,  fever, cough,


===Site===
===Site===
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{{hidden|High magnification|[[Image: Coccidioidomycosis - very high mag.jpg |500px|link=|center|]]
{{hidden|High magnification|[[Image: Coccidioidomycosis - very high mag.jpg |500px|link=|center|]]
<center>High magnification. [[H&E stain]].</center>}}
<center>High magnification. [[H&E stain]].</center>}}
{{hidden|High magnification with GMS|[[Image: Coccidioidomycosis - 2 - gms - very high mag.jpg |500px|link=|center|]]
<center>High magnification with GMS. [[H&E stain]].</center>}}


===Differential diagnosis===
===Differential diagnosis===
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===Additional tests===
===Additional tests===
====More history====
====More history====
{{hidden|More history|<center>HIV patient.</center>}}
{{hidden|More history|<center>Patient also has a headache, rash, myalgias, and arthralgias. HIV positive. Lives in San Francisco part of the year.</center>}}


====Ask a colleague====
====Ask a colleague====
{{hidden|Ask a colleague|<center>You see these spherules 60-80 μm in size with 1-5 um endospores are classic finding for this microorganism!</center>}}
{{hidden|Ask a colleague|<center>Looks like an infection. Did you do a GMS? Looks like there are large spherules (60-80 micrometres in size) with (1-5 micrometres) endospores.</center>}}


====Stains====
====Stains====
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| gallyas=  
| gallyas=  
| giemsa=  
| giemsa=  
| gms=  
| gms= [[Image: Coccidioidomycosis - 2 - gms - very high mag.jpg |500px|link=|center|]]
| gomori=  
| gomori=  
| gram=  
| gram=  
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[[Category:Cases in pulmonary pathology]]
[[Category:Cases in pulmonary pathology]]
[[Category:Cases difficulty 1]]
[[Category:Cases difficulty 4]]
[[Category:Cases in pulmonary pathology - junior]]
[[Category:Cases in pulmonary pathology - senior]]
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