case_images: PMC9441404_01
case_images: Chest X-ray with an extensive nodular pattern in both lung fields.
case_images: CRIT2022-8042168.001.jpg
case_images: PMC9441404_01_CRIT2022-8042168.001.jpg
case_images: fig1
case_images: 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.
case_images: Chest tomography with generalized infiltrate and centripetal distribution to the bronchial tree with a non-micronodular pattern.
case_images: CRIT2022-8042168.002.jpg
case_images: PMC9441404_01_CRIT2022-8042168.002.jpg
case_images: fig2
case_images: 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.
case_images: Macroscopic and microscopic views of H. capsulatum from the bronchoalveolar lavage.
case_images: CRIT2022-8042168.003.jpg
case_images: PMC9441404_01_CRIT2022-8042168.003.jpg
case_images: fig3
case_images: 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).