Which conditions should be included in the differential diagnoses of coccidioidomycosis with focal or multifocal cavitary lesions seen on chest imaging studies?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The differential diagnosis of focal or multifocal cavitary lesions seen on chest imaging studies in patients with possible coccidioidomycosis is as follows:

  • Neoplasms (eg, bronchogenic carcinoma, lymphoma)

  • Immunologic disorders such as Wegener granulomatosis and rheumatoid nodule

  • Pulmonary infarct

  • Septic embolism

  • Lymphocytic interstitial pneumonia

  • Localized bronchiectasis


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