Abstract：
Following an endobronchial examination, a young mine supervisor was treated with antibiotics for a pulmonary nontuberculous mycobacterial infection for approximately one year. However, a review of the radiological findings revealed a different possibility. Accordingly, pulmonary resection was performed, and histopathological analysis revealed numerous yeast-like fungi. Since the patient had stayed in the southwestern United States for two months in 2009, eight years previously, coccidioidomycosis was strongly suspected. The diagnosis of coccidioidomycosis was subsequently confirmed by serology and polymerase chain reaction testing of the excised specimen. Here, we report an educational case that emphasizes the importance of meticulous medical history-taking and awareness of endemic mycoses in other countries in the context of globalization.
摘要：
支气管内检查后，一名年轻的矿长因肺部非结核分枝杆菌感染接受抗生素治疗约1年。然而,对放射学发现的审查，以前没有评估过，揭示了另一种可能性。因此，进行了肺切除术，能够进行组织病理学分析，其中显示了许多酵母样真菌。鉴于在美国西南部停留2个月的历史，2009年，8年前，强烈怀疑球孢子菌病，随后通过对切除标本的血清学和聚合酶链反应测试证实了诊断。这里,我们报告了一个教育案例，强调在全球化的背景下，在其他国家，细致的病史记录和对地方性真菌病的认识的重要性。
