Given the difficulty in making a diagnosis and the fact that his condition persisted despite the empirical treatment for nonspecific pathogens, we decided to transfer the patient to a referral center, where he underwent a second fiberoptic bronchoscopy with BAL for mycological examination.
Dada la dificultad diagnóstica y la persistencia del cuadro bajo tratamiento empírico a gérmenes inespecíficos, se decide trasladar al paciente a centro de referencia donde se repite la fibrobroncoscopía con LBA para estudio micológico.