Purpose: The purpose of our case is to help other physicians learn from this unique case of Coccidiomycosis.
Methods: This is a case Report, the only materials that had been used were the patients chart information and history taken from the patient.
Results: We report a case of a pulmonary cavitary lesion in a 74-year-old African American man who presented to the emergency department with right upper quadrant abdominal pain and cough of one week duration. Chest CT revealed a cavitary lesion in the right upper lobe. His diagnosis was made two weeks after his admission by bronchial lavage, at which time appropriate treatment was initiated.
Conclusions: This case emphasizes the importance of a thorough history-taking when presented with a problem that has a wide differential diagnosis.