PMC7739074_01
Chest X-ray and computed tomography scan was done showing a nodular pattern and infiltrates in both lungs (black arrow).
10.1177_2324709620977707-fig1.jpg
PMC7739074_01_10.1177_2324709620977707-fig1.jpg
fig1-2324709620977707
(A) Small grayish lesions in the right upper lobe (black arrow), but no lesions were found on the apex; decreased bronchial size due to persistent bronchospasm in the right middle lobe. (B) In the upper left lung, a light greenish mucus was found with plugs (black arrow) that occlude the main bronchus, which caused an extensive bronchial collapse.
10.1177_2324709620977707-fig2.jpg
PMC7739074_01_10.1177_2324709620977707-fig2.jpg
fig2-2324709620977707
In the upper left lung, light greenish mucus was found with plugs that occluded the main bronchus, which caused an extensive bronchial collapse (Figure 2).
Presence of filamentous fungi, identified as Aspergillus fumigatus (black arrow).
10.1177_2324709620977707-fig3.jpg
PMC7739074_01_10.1177_2324709620977707-fig3.jpg
fig3-2324709620977707
The BAL's cultures evidenced filamentous fungi, identified as Aspergillus fumigatus (Figure 3), so 200 mg/day of voriconazole was introduced.