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Discussion Starter #1
A 45 year old women from California presented with fever, arthritis, pneumonia, and skin lesion over the anterior legs.
Skin scrapings treated with PAS stain revealed this
11029_lores.jpg
Image from CDC public domain - Dr. Gary Caroll

What is the treatment of choice
a- ampicillin
b- flucanazole
c- tetracycline
e- TMP-SMX
f- cephalosporin
 

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e?? This question drove me up the wall, lol. There are only a few organisms that are Acid fast and can stain with PAS. I was thinking Nocardia psuedoTB but I have no idea...:confused:
 

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Discussion Starter #4
Answer

Diagnosis: Coccidiodis immitis
Treatment: Flucanazole
Clues: California, Pneumonia, Erythema nodosum
Micrograph: Tissue form, spherules
 
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