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Coccidioidomycosis: chest X ray with a miliary pattern suggesting fungal or mycobacterial disease

Description: Chest radiograph of an HIV-infected patient, CD4 count <50 cells/µL, demonstrating a miliary pattern that is suggestive of either mycobacterial or disseminated fungal disease (clinical information may help in assigning the relative probabilities). The diagnostic approach should evaluate both possibilities. The diagnosis in this patient was disseminated coccidioidomycosis.
Credits: Laurence Huang, MD, University of California San Francisco
See related article in the HIV InSite Knowledge Base:
Pulmonary Manifestations of HIV

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