PMC4738435_01
Low dose computed tomography of the lung. Consolidation with surrounding ground glass opacity at the medial segment of the right middle lobe.
MYC-59-56-g001.jpg
PMC4738435_01_MYC-59-56-g001.jpg
myc12435-fig-0001
Low-dose computed tomography of the lung was performed, which showed consolidation with surrounding ground glass opacity at the medial segment of the right middle lobe (RML) (Fig. 1).
Colonies of yeast on blood agar and microscopic morphology. (a) Yeast-like colonies that are dry, creamy, brightly coloured, and glabrous in texture; (b) Gram stain showing yeast with branching pseudohyphae (arrow).
MYC-59-56-g002.jpg
PMC4738435_01_MYC-59-56-g002.jpg
myc12435-fig-0002
Colonies observed on the blood agar plate were white, dry or wrinkled (Fig. 2a). Microscopically, they appeared as yeast with branching pseudohyphae (Fig. 2b).
Histopathology of lung tissue from a transbronchial lung biopsy specimen. Fungal organisms on the background of necrosis and inflammatory infiltration. (a) Haematoxylin and eosin stain, x100; (b) Haematoxylin and eosin stain, x400; (c) Silver stain, x400.
MYC-59-56-g003.jpg
PMC4738435_01_MYC-59-56-g003.jpg
myc12435-fig-0003
Pathology specimens showed inflammatory changes with necrosis and dichotomous hyphae with a septum, suggestive of organising pneumonia with a fungal infection (Fig. 3).