PMC5503829_01
Papular rash on chest.
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He had a skin biopsy due to a papular rash on his face and chest (Fig. 1), and a high resolution CT chest showed cavitary consolidations in the right upper and lower lobe with diffuse bilateral lymphadenopathy (Fig. 2).
Skin biopsy (GMS stain) showing fungal forms.
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While awaiting speciation of yeast in blood cultures, results of skin biopsy (Fig. 3), bone marrow biopsy (Fig. 4), and bronchoalveolar lavage on bronchoscopy (all preliminary results showing fungal elements), he was persistently febrile to over 102 F, for which voriconazole was added to amphotericin B.