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Based on the images alone, it is usually not possible to determine the cause of the
considered, like acute ... or chronic illness ... with cough and fever ... Pulmonary hemorrhage ... nodular interstitial lung
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... Eosinophilic PNA (acute ... or chronic)
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
to Eosinophilic Lung ... Diseases • Acute ... cough, SOB • Chronic ... Fungal, parasites; Travel ... #Diseases #pulmonary
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
conidia → Yeast → travel ... respiratory symptoms • Fever ... change in the lungs ... or chronic pulmonary ... nails, bronchi, lungs