PMC9441404_01
Chest X-ray with an extensive nodular pattern in both lung fields.
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fig1
April 2021, the patient's fever returned (39 C), predominantly at night, and he experienced shivers, diaphoresis, diarrhea, unwellness, general hyporexia, dry cough, dyspnea, and weight loss, requiring hospitalization and initiation of the diagnostic work-up with RT-PCR for SARS-CoV-2 with negative results. A Chest X-ray (Figure 1) showed an extensive nodular pattern in both lung fields, and chest tomography (Figure 2) showed a predominantly central pattern of bilateral ground glass opacities.
Chest tomography with generalized infiltrate and centripetal distribution to the bronchial tree with a non-micronodular pattern.
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fig2
April 2021, the patient's fever returned (39 C), predominantly at night, and he experienced shivers, diaphoresis, diarrhea, unwellness, general hyporexia, dry cough, dyspnea, and weight loss, requiring hospitalization and initiation of the diagnostic work-up with RT-PCR for SARS-CoV-2 with negative results. A Chest X-ray (Figure 1) showed an extensive nodular pattern in both lung fields, and chest tomography (Figure 2) showed a predominantly central pattern of bilateral ground glass opacities.
Macroscopic and microscopic views of H. capsulatum from the bronchoalveolar lavage.
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The final report provided 10 days after the initiation of therapy with amphotericin B showed the growth of Histoplasma capsulatum in the cultivation medium of the bronchoalveolar lavage done 4 days after hospitalization (Figure 3).