Dual Pulmonary Infections In a 57-Year-Old Male With Large Adrenal Mass

Abstract

A 57-year-old male presented with complaints of progressive
dry cough, fever, headaches and weight loss, suggesting
a pulmonary infection and/or possible malignancy.
Bronchial washings from the area of consolidation revealed
broad-based budding yeast consistent with Blastomycosis
(Figure 1). The CT scan showed two nodules
in the right lung that might be malignant. Biopsy of one
nodule showed Pneumosystis jiroveci (Figure 2).