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===Provided clinical history=== | ===Provided clinical history=== | ||
46 year old man, fever, cough, | 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>}} | ||
===Differential diagnosis=== | ===Differential diagnosis=== | ||
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===Additional tests=== | ===Additional tests=== | ||
====More history==== | ====More history==== | ||
{{hidden|More history|<center>HIV | {{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> | {{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 | [[Category:Cases difficulty 4]] | ||
[[Category:Cases in pulmonary pathology - | [[Category:Cases in pulmonary pathology - senior]] |
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