Pulmonary Pathology - Case 7 - Part 2
   

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Reference Values

 

The patient was transferred to this hospital alert, awake but disoriented to person, place and time. He has had rapidly progressive dementia over a 6 week period.

Vitals: P 80, BP 120/70, RR 22, T 37.6C

PE: lungs clear, heart without murmurs, abdomen soft, neurologic no focal signs

WBC 5,700, HCT 33.2%, PLT 213,000
Lytes: 128 / 3.8 / 96 / 26, glucose 103, BUN / Cr 10 / 0.5, Ca 8.3

CXR on admission

Name

Result/Unit

 

Ref Interval

COCCIDIOIDES Ab (CF)

< 1:2

 

< 1:2

COCCIDIOIDES Ab, IgG

4.9 IV

H

< 0.9

COCCIDIOIDES Ab, IgM

1.7 IV

H

< 0.9

COCCIDIOIDES Ab (ImmunoDiffusion)

POSITIVE

A

NONE DET


1. What is your diagnosis?

2. What treatment would you recommend?