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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Disseminated coccidioidomycosis with multifocal musculoskeletal disease involvement
Michael F McConnell1, Ann Shi2, Todd M Lasco3
1Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Unit 1476, 1515 Holcombe Blvd, Houston, TX 77030, USA.
Abstract:
We report a rare case of disseminated coccidioidomycosis with multifocal musculoskeletal involvement. The patient presented to the emergency department with left shoulder pain and swelling. Magnetic resonance imaging of the left shoulder revealed enhancing soft tissue masses, bony lesions, and fluid collections in and around the glenohumeral joint with involvement of the proximal humerus, glenoid, and rotator cuff musculature. Multiple additional areas of involvement were subsequently discovered. Fungal cultures confirmed coccidioidomycosis infection at all surgical sites with superimposed polymicrobial bacterial infection in the left shoulder.
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