Invasive Pulmonary Aspergillosis with Disseminated Infection in Immunocompetent Patient

Figure 1

Radiological and bronchoscopic findings. (a) Radiological findings. (A) Chest radiography (CRx) at hospital admission (day 1). (B) Computed tomography revealing small lingula consolidation (day 2). (C) CRx at ICU admission with new bilateral infiltrates (day 3). (D) CRx after 24 h of ICU admittance showing bilateral atelectasis (day 4). (b) Bronchoscopic findings. (A) Necrotic detritus and pseudomembrane in the right upper lobe. (B) Right upper lobe and right carina with an extensive deposit of necrotic material. Bronchoscopic biopsy was performed and revealed the presence of fungus with hyphae suggestive of Aspergillus. (C) Involvement of intermediate bronchus. (D) The orifice of bronchus in the culmen was not visible because of a large quantity of necrotic material. Bronchial wash fluid revealed the presence of Aspergillus. (E) Necrotic detritus and pseudomembrane in the left upper lobe. (F) Involvement of culmen, left carina, and lingula.

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