PMC8280816_01
Lung imaging confirming pneumonia in our patient: A computerized tomography (CT) of the
chest (A) showing bilateral airspace opacities predominantly throughout the right,
upper-middle, and lower lobes as well as the lingula. The opacities appear confluent in
the right lower lobe with no cavitation observed. The location is perihilar and likely
peripheral in the right. No pleural effusions or endobronchial lesions are seen, (B) a
chest X-ray showing patchy airspace opacities at the lung bases with additional
multifocal opacities predominantly evident in the right upper and left lower lung zone.
No pleural effusion or no pneumothorax was observed. Cardiac and mediastinal borders
were within normal limits, and (C) a follow-up X-ray image (day 6 after admission)
showed improvement of the infection post antifungal administration.
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Chest X-ray and computerized tomography (CT) scan of the chest (Figure 1) confirmed multifocal pneumonia. The chest CT (Figure 1A) showed bilateral airspace opacities throughout the right upper, middle, and lower lobes, including the lingula.
Sporopachydermia lactativora morphology: Wet preparation (A) showing multiple true,
narrow-necked budding yeast resembling Cryptococcus (the black arrows showing the "bud
connection" between a mother and daughter cell), (B) Gram's stain showing large budding
yeasts. Magnification (A and B) = 100x, oil immersion. Scale bar (A and B) = 20 microm, (C)
blood agar, incubated at 30 C for 24 hours, show pin-point small white creamy colonies,
and (D) larger, creamy round colonies observed at 48 hours on Sabouraud's agar. Scale
bar = 1 mm.
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Gram stain revealed budding yeast-like cells (Figure 2B). Growth was observed after 24 to 48 hours of incubation on all agar mediums and characterized as smooth, pin-point small white colonies (Figure 2C and D).