Pulmonary Pathology - Case 7 - Part 4
   

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The patient never improved his mental status although treatment of the pulmonary embolus with heparin was successful. The patient developed numerous complications from treatment and was eventually put on comfort care and passed away 3 months after his initial presentation. An autopsy was performed.

Brain with Cocci meningitis
Close up of Cocci meningitis around brain stem (cerebellopontine angle)
Close up of Cocci meningitis around brain stem (cerebellopontine angle)
Pulmonary embolus in opened pulmonary artery
Infarcted lung

Pulmonary artery with thromboembolus low power

Pulmonary artery with thromboembolus shows early organization on higher power
Thromboembolus in pulmonary artery
Embolus with lines of Zahn
Infarcted region of lung
Infarcted region of lung
Small focus of acute pneumonia
Sections of heart showing a recent small infarction
Sections of heart showing a recent small infarction
Sections of brainstem showing Cocci meningitis
Sections of brainstem with spherule of Coccidioides immitis

1. How is Coccidioides immitis contracted?

2. Was the pulmonary embolism a significant factor in this patient's death?