• Qing Yu, Qingping Zhang, Jin Yu, Yinggai Song, Wei Zhang, and Chengli Que.
• Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China.
• Chest. 2021 Aug 1; 160 (2): e177-e180.

Case PresentationA 66-year-old woman with a history of diabetes presented with an intermittent low-grade fever, cough, shortness of breath, and decreased activity tolerance over a 3-month period. She is a farmer, and denied a history of chronic pulmonary disease. Her only medical history was type 2 diabetes managed without medication. She denied smoking or tobacco use. She did not report any recent travel and denied having birds at home. Imaging at a local hospital showed left lower lobe atelectasis with a small pleural effusion. An infection with mucormycosis was diagnosed through transbronchial biopsy. The patient was given nebulized amphotericin B along with concurrent IV liposomal amphotericin B for a total of 15 days. She experienced no significant improvement in symptoms during therapy and, in fact, developed worsening, progressive dyspnea.Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

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