PMC9584768_01
Chest CT on admission showing right pleural effusion, and pneumothorax.
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The chest CT on admission is shown in Figure 1. 
Against a background of necrotic fragments, a pear-shaped body with flagella was visible, containing a large dark purple long oval nucleus shaped like a mouse eye, highly suspicious for T. tenax. (indicated by arrow, Richter-Giemsa stain, x1000).
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Suspected T. tenax was observed (Figure 2). 
Chest CT at discharge showing that the right pleural effusion and pneumothorax were markedly absorbed.
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On day 24 of hospitalization, the patient was discharged after significant resolution of the chest lesion (Figure 3) and improvement of the inflammatory indicators.