PMC3212969_01
Axial CT chest showing left upper lobe consolidation with surrounding ground glass opacity (shown by arrow).
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Acid Fast Bacilli in smear stained by ZN stain (shown by arrow) prepared from BAL sample of the patient after concentration and decontamination (X1000 under oil immersion).
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Bronchoalveolar lavage showed the presence of acid fast bacilli suggestive of mycobacterium tubercular infection (Figure 2).
Aseptate, irregular, ribbon-like, broad, wide-angled branching hyphae suggestive of mucormycosis in lung tissue (shown by arrow) (H & E X200).
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Considering high risk of fungal infection and interactions of voriconazole with anti-tubercular drugs, lung biopsy was performed 3 days later, which revealed broad aseptate hyphae branching at a right angle suggestive of mucormycosis (Figure 3).