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Coccidioidomycosis in Spleen: Coccidioidomycosis primarily involves the lungs but may spread to the spleen and other organs in immunocompromised patients (especially HIV+/AIDS). In full-blown infection, spleen shows necrotizing and non-necrotizing granulomas and microabscesses. The background contains lymphoid aggregates, neutrophils and eosinophils. The diagnostic hallmark is detection of developing (immature) and mature spherules as well as released endospores.

Image 44 of 52