In view of his prolonged respiratory symptoms, fever, poor overall health status, and bilateral fibrotic lung involvement, with multiple cavities and nodules, we hypothesized the following: pulmonary tuberculosis or chronic deep fungal infection, the latter being due to extensive fibrosis and being active because of the fever, ground-glass lesions, and cavity contents.
Se plantea por el cuadro respiratorio prolongado, febril, con repercusión general, y compromiso fibrótico pulmonar bilateral, con múltiples cavidades y nódulos: tuberculosis pulmonar o micosis profunda del adulto, a forma crónica evolutiva por fibrosis extensa, en actividad por cuadro febril, lesiones vidrio deslustrado y contenido cavitario.