PMC5366780_01
(a) Initial chest X-ray on initial presentation for an 18-year-old man status after cadaveric kidney transplant demonstrating increased opacification of the mid and lower left lung fields. (b) Computerized topography of chest/thorax for the same patient demonstrating a left lobe cavitary lesion.
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His initial chest X-ray demonstrated a consolidation of the left lower lobe (Figure 1(a)). Further imaging on chest CT showed a left lower lobe cavitary lesion (Figure 1(b)).
Gross pathology of consolidated fungal mass removed from lung of an 18-year-old male status after cadaveric kidney transplant. (a) Anterior and (b) posterior views of left lower lobe demonstrating a large consolidated fungal mass surrounded by area of hemorrhagic necrosis.
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Intraoperatively, he was found to have a solitary consolidated fungal mass surrounded by an area of hemorrhagic necrosis (Figure 2).
Grocott-Gomori methenamine-silver (GMS) stained tissue section of resected lung from an 18-year-old with recent kidney transplant highlighting aseptate hyphae morphologically resembling fungal class Zygomycetes (400x).
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Final pathology showed Rhizopus species (Figure 3).
18-year-old male renal transplant recipient 24 days status after resection of left lower lobe for a fungating mass with (a) chest X-ray demonstrating left upper lobe consolidation and (b) chest computerized topography scan showing consolidation of right upper, middle, and lower lobes.
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He was taken to the operating room for an evacuation of an empyema and debridement of soft tissue surrounding the incision (Figures 4(a) and 4(b)).
18-year-old male renal transplant recipient with pulmonary mucormycosis who developed disseminated skin infection with mucormycosis at thoracotomy site (a) and following debridement (b).
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However, he had evidence of consolidations in both lungs (Figure 5).