case_images: PMC5529090_01
case_images: Photo of the patient showing the multiple cauliflower-like lesions.
case_images: imcrj-10-251Fig1.jpg
case_images: PMC5529090_01_imcrj-10-251Fig1.jpg
case_images: f1-imcrj-10-251
case_images: He appeared cachectic on presentation and had numerous cauliflower-like lesions on his face (Figure 1) and extensive adenopathy including the cervical, supraclavicular, axillary, and inguinal regions.
case_images: CT chest showing extensive hilar and mediastinal adenopathy (red arrow heads).
case_images: imcrj-10-251Fig2.jpg
case_images: PMC5529090_01_imcrj-10-251Fig2.jpg
case_images: f2-imcrj-10-251
case_images: There was radiologic evidence of extensive mediastinal and hilar adenopathy and splenomegaly measuring 14.0 cm on computed tomography (Figures 2 and 3).
case_images: CT abdomen showing enlarged spleen measuring 14.1 cm.
case_images: imcrj-10-251Fig3.jpg
case_images: PMC5529090_01_imcrj-10-251Fig3.jpg
case_images: f3-imcrj-10-251
case_images: There was radiologic evidence of extensive mediastinal and hilar adenopathy and splenomegaly measuring 14.0 cm on computed tomography (Figures 2 and 3).
case_images: PAS stain showing multiple spherules with endospores (arrows).
case_images: imcrj-10-251Fig4.jpg
case_images: PMC5529090_01_imcrj-10-251Fig4.jpg
case_images: f4-imcrj-10-251
case_images: Pathology of one node reported granulomatous inflammation with giant cell reaction and focal necrosis with fungal elements most compatible with Coccidioides species (Figure 4).