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May 20, 2026American Journal of Respiratory and Critical Care Medicine

D107-01 Interval Development of Miliary Pulmonary Nodules on CT Imaging During Inpatient Admission: An Unexpected Case of Disseminated Coccidiomycosis

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Authors

ACA L ChaiSMS MajumdarCNC Nguyen

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Overview

This case reports the rapid development of pulmonary nodules in a hospitalized patient, suggesting a link to coccidioidomycosis.

Key Points

  • This report aims to illustrate an uncommon presentation of miliary coccidioidomycosis in a non-immunocompromised patient.
  • Detailed clinical evaluation and CT imaging during hospitalization.
  • Bronchoscopy with bronchoalveolar lavage (BAL) for diagnostic confirmation.
  • Pathological examination and tissue culture for identification of Coccidioides.
  • New diffuse pulmonary nodules detected via CT on hospital day 9.
  • Coccidioides detected in BAL samples with a high percentage of eosinophils.
  • Tissue culture confirmed Coccidioides growth with associated granulomatous inflammation.

Cite This Study

Chai et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f34f03e14405aa9a647https://doi.org/10.1093/ajrccm/aamag162.4572
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