A 45-year-old guy arrives at the emergency department after suffering from a cough and fever for many days. His temperature is 38.4 degrees Celsius (101.2 degrees Fahrenheit), his blood pressure is 117/76 mm Hg, his pulse is 92 beats per minute, and his respirations are 18 beats per minute. Physical examination of the right lung reveals rales and diminished breath sounds at the base. A lung infiltration, hilar adenopathy, and a right-sided pleural effusion are all seen on a chest x-ray. The following findings are shown by lung tissue collected from the patient: Which of the following is the most likely cause of this patient's condition?

Question

A 45-year-old guy arrives at the emergency department after suffering from a cough and fever for many days. His temperature is 38.4 degrees Celsius (101.2 degrees Fahrenheit), his blood pressure is 117/76 mm Hg, his pulse is 92 beats per minute, and his respirations are 18 beats per minute. Physical examination of the right lung reveals rales and diminished breath sounds at the base. A lung infiltration, hilar adenopathy, and a right-sided pleural effusion are all seen on a chest x-ray. The following findings are shown by lung tissue collected from the patient:  Which of the following is the most likely cause of this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: Infection with Coccidioides immitis can be asymptomatic or cause lung disease ranging from a flu-like sickness to persistent pneumonia. In immunocompromised people, it develops disseminated illness. Tissue samples include endospore-containing spherules.

A 45-Year-Old Guy Arrives at the Emergency Department After Suffering