Coccidioidomycosis mimicking peritoneal carcinomatosis
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A 43-year-old previously healthy female presented to her primary care physician with a two-week history of 10-lb weight gain, increased abdominal girth, abdominal pain, and fatigue. Her past medical history was largely unremarkable. Of note, she had lived in Arizona for three years. She was admitted to expedite her workup, and a bedside ultrasound revealed large-volume ascites. Aspirated ascitic fluid did not yield malignant cells, and cultures were negative for mycobacteria, acid-fast bacilli, or aerobic and anaerobic bacteria. A CT of the abdomen and pelvis was performed; an MRI of the chest, abdomen, and pelvis was prompted due to the CT findings.

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