PMC6036831_01
Microscopic image of the slide culture of the isolate from the prosthetic valve.
CRIID2018-3057463.001.jpg
PMC6036831_01_CRIID2018-3057463.001.jpg
fig1
Bacterial cultures remained negative, and a filamentous mould grew from the vegetation at 48 h that was finally identified phenotypically as Acremonium species (Figure 1).
Gram stain from the blood culture bottle when the patient relapsed showing septate hyphae and ellipsoidal blastoconidium of Acremonium, mimicking pseudohyphae of candida.
CRIID2018-3057463.002.jpg
PMC6036831_01_CRIID2018-3057463.002.jpg
fig2
The bottles flagged positive after 3 days of incubation and two sets of blood cultures grew Acremonium species with similar antifungal susceptibilities (Figure 2).