Case 1, image 1: This 42-year-old male, Freddie Peralta, died as result of pulmonary coccidioidomycosis. Coccidioides immitis is endemic to Southwest. Chronic alcoholism was probably a contributing factor by lowering his resistance to infection.

Case 1, image 2: Necrotizing disseminated coccidioidomycosis characterized by abscesses containing acute inflammatory cells and numerous sporangia many with numerous endospores.

Case 1, image 3: Some alveoli are filled with organizing fibroblastic tissue.