A 30-year-old man with no significant medical history was hospitalized after experiencing severe shortness of breath, weakness, and urinary retention, having previously been diagnosed with disseminated coccidioidomycosis.
He received an ineffective treatment with fluconazole and was hospitalized for more intensive therapy with liposomal amphotericin B, but further testing revealed a misdiagnosis of metastatic germ cell carcinoma.
The patient's condition was too advanced for effective treatment, leading him to choose palliative care, and he passed away shortly after entering hospice, highlighting the challenges in distinguishing between severe infections and cancers.