PMC9909080_01
Chest computed tomography (CT) scan showed bilateral consolidation with left predominance.
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C-reactive protein (CRP) 38 mg/dL (NV: 0-5 mg/dL), procalcitonin 0.23 (NV: 0.25-0.50 mg/dL), ferritin 118 ng/mL (NV: 12-300 ng/mL), and D-dimer 450 ng/mL (NV: < 500 ng/mL). Chest computed tomography (CT) scan showed bilateral consolidation with left predominance (Figure 1).
The bronchoscopy image. The bronchoscopy image shows white mucous secretions at the entrance of the left main bronchus and scattered whitish plaques along the bronchial mucosa.
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On hospital day 2, once the patient was hemodynamically stable, fiberoptic bronchoscopy was performed, wherein thick whitish mucous secretions obstructing the bronchial lumen were observed (Figure 2).
Atelectasis of the left lung is observed on the chest X-ray.
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On hospital day 4, sedation and ventilator weaning were started; however, atelectasis of the left lung was noted (Figure 3).
Microbiological detection of microorganism: (A) isolated colonies of C tropicalis in Agar Saboraud Dextrose with chloramphenicol. (B) Fresh preparation microscopy and KOH smear show blasticonidia and pseudohyphae typical of C tropicalis. The identification was made by MALDI-TOF Biotyper mass spectrometry version 3.1 of Bruker daltonik GmbH.
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In addition, MALDI-TOF Biotyper mass spectrometry identified C tropicalis (Figure 4).
High-resolution CT scan of the patient. High-resolution CT scan of the chest taken 1 month after discharge shows scarce cylindrical bronchiectasis.. Abbreviation: CT, computed tomography.
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