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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
Pink Magenta Circle Art Foam
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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