PMC5926488_01
CT chest showing diffuse micronodules in all five of his lobes in a perilymphatic and centrilobular distribution, as well as a few scattered calcified granulomas.
CRIM2018-2723489.001.jpg
PMC5926488_01_CRIM2018-2723489.001.jpg
fig1
The CT chest scan also showed mediastinal and hilar lymphadenopathy as well as splenomegaly (Figure 1).
Tape preparation slide of Histoplasma capsulatum from left upper lobe tissue culture viewed at 100x magnification.
CRIM2018-2723489.002.jpg
PMC5926488_01_CRIM2018-2723489.002.jpg
fig2
The isolate was preliminarily identified as Histoplasma capsulatum based on morphology (Figure 2) and was sent to a reference laboratory where it tested positive for Histoplasma capsulatum by DNA probe.