A case of coccidioidomycosis diagnosed by imprint cytology

Abstract

A 23-year-old male was found to have a nodular shadow in the lingular area of the left upper lobe by chest X-ray examination.
The patient was diagnosed as having coccidioidomycosis by frozen histology and imprint cytology of an open lung biopsy on the basis of the preserce of immature spherules and hyphae, and spherules filled with endospores.
Histological examination revealed primary coccidioidomycosis forming a granuloma (coccidioidoma) in the lung.
The patient had a history of agricultural training for twoyears in California.