PMC3336246_01
Two years before his admission he was presented with dyspnea on exception, and on CT imaging emphysema was the main evidence.
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fig1
A 50-year-old male, smoker (50 p/y), with a history of alcoholism, severe COPD, bilateral pneumothorax, and tuberculosis due to mycobacterium avium infection, was admitted in our department eight months after antituberculosis treatment initialization due to one-month period of high fever, up to 39.6 C, loss of weight, almost 5 kgr, and productive cough with purulent sputum (Figures 1 and 2).
Almost one year prior to his admission he was presented with weight loss, fever, and dyspnea and pulmonary tuberculosis due to mycobacterium avium infection was diagnosed. One month after a bilateral pneumothorax (arrows) was diagnosed and pleurodesis was performed.
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fig2
A 50-year-old male, smoker (50 p/y), with a history of alcoholism, severe COPD, bilateral pneumothorax, and tuberculosis due to mycobacterium avium infection, was admitted in our department eight months after antituberculosis treatment initialization due to one-month period of high fever, up to 39.6 C, loss of weight, almost 5 kgr, and productive cough with purulent sputum (Figures 1 and 2).
On scanogram a rather catastrophic view is demonstrated including cavitary lesions, extensive fibrosis, and consolidation mainly at the upper lobes.
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fig3
Finally in three different sputum samples Aspergillus flavius was isolated and, a CT scan demonstrated cavitary lesions with shadows, probably due to fungus contamination inside them, especially in the upper left lobe (Figures 3 and 4).
On a CT scan view of the upper lobes cavity lesions are demonstrated, with new shadows inside them, most probably due to aspergillus infection.
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fig4
Finally in three different sputum samples Aspergillus flavius was isolated and, a CT scan demonstrated cavitary lesions with shadows, probably due to fungus contamination inside them, especially in the upper left lobe (Figures 3 and 4).