PMC9720246_01
(A) Thoracic CT on admission showing diffuse ground glass opacification throughout both lungs. (B, C, D) Thoracic CT on the 21st day showed that the diffuse ground glass opacification had disappeared, but multiple nodules remained.
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Chest CT revealed diffuse ground glass opacification throughout both lungs except for the bilateral pulmonary apex and lung bases (Fig. 1A). Chest CT on the 21st day (Fig. 1B-D) showed that the diffuse ground glass opacification had disappeared, while multiple nodules remained.
(A) Subculturing of the organism isolated from blood culture on Sabouraud agar medium after one week of incubation at 35  C. (B) Gram staining from the patient's blood culture revealed the presence of filamentous fungi. (C, D) Lactophenol cotton blue staining showed fungi with broom-like bodies.
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After one week of incubation at 35  C on Sabouraud agar medium, white colonies were observed, and lactophenol cotton blue staining showed fungi with broom-like bodies. (Fig. 2A-D).
The course of treatment. The patient's symptoms disappeared. LVFX, levofloxacin; DRPM, doripenem; VRCZ, voriconazole; mPSL, methylprednisolone; PSL, prednisolone; BT, Body temperature; N.D., not detected; ART, antiretroviral therapy.
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However, we administered voriconazole (VRCZ) for 3 weeks, considering the possibility of Fusarium spp. or Aspergillus spp. (Fig. 3).