Small Bowel Dissemination of Coccidioidomycosis

Figure 1

(a) A chest radiograph demonstrated complete opacity of the left lung and a small opacity in the right lower lobe. (b) CT scan showed diffuse small bowel thickening and enhancement. ((c) and (d)) Multiple spherules filled with round fungal endospores and scattered individual endospores were identified in the lamina propria of the duodenum ((c) H & E stain; (d) Gomori methenamine silver stain, original magnification ×400 for both).

(a)

(b)

(c)

(d)