Not Just a Simple Pneumothorax

Collins, Jennie; Dy, Marisela E.; Clemens, Conrad J.; Faddoul, Diala

doi:10.1097/inf.0b013e3182075ef7

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2023

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“…or subpleural (44.3%) areas of the lung [19,20]. Rupture of cavitary lesions and spontaneous pneumothorax is estimated to occur in 2% to 4.4% of cases [21]. Cavitary lesions in the periphery of the lung can cause empyema and extensive fibrothorax, resulting in trapped lung and very rare pyopneumathoraxes, which are more common in healthy athletic males, as is the case in our patient, and have a mortality rate of 15% [22,23].…”

Section: Discussionsupporting

confidence: 58%

Coccidioides-Induced Pyopneumothorax in an Immunocompetent Patient

Khalafi,

Brockman,

Dihowm

2023

Cureus

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Coccidioidomycosis is a rare infection caused by the dimorphic fungi Coccidiodes immitus or Coccidioides posadasii. This fungal infection is very common in the American Southwest as well as northern Mexico. Though the fungus is ubiquitous, symptomatic coccidioidomycosis usually occurs in the elderly or immunocompromised. This case report discusses a unique instance of an immunocompetent 29-year-old male without any notable past medical history who was found to have a coccidioidal cavitary lung lesion with concomitant pyopneumothorax.

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