adiaspiromycosis

a·di·a·spi·ro·my·co·sis

(ā'dē-ă-spī'rō-mī-kō'sis), A rare pulmonary mycosis of humans, rodents, and other animals that dig in soil or are aquatic, caused by the fungus Emmonsia parva var. crescens.

Adiaspiromycosis

A rare fungal infection which affects mammals, including rodents and humans, after inhalation of dust-borne microconidia of a fungus, Emmonsia parva var crescens, which causes most cases of adiaspiromycosis in Europe and is marked by the formation of large, thick-walled spherules (adiaspores) in lungs and mediastinal lymph nodes.
Clinical findings Dry cough, low-grade fever, fatigue, shortness of breath, pulmonary infiltrates, granulomatous dissemination. It may be an incidental finding during workup for other causes. The effects of infection—compromised lung function—depend on spore burden and immune competence: it is more severe in AIDS patients. 
DiffDx Coccidioides immitis, helminths, Rhinosporidium seeberi, starch granules.
Managment Itracozole.