PMC4901181_01
A furry coating was visible on his tongue, inner cheeks and on the roof of the mouth (a). Abdominal CT revealed a space-occupying lesion on his liver (b).
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On physical examination, a furry coating was visible on his tongue, inner cheeks and on the roof of the mouth (Fig. 1a). CT revealed a space-occupying lesion on his liver (Fig. 1b).
Chest radiography on the first visit revealed infiltrative shadows in the bilateral upper lung field (a). Chest high-resolution computed tomography (CT) revealed a ground-glass opacity with multiple cysts on the bilateral upper lobes (b, c).
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Chest radiography on the first visit revealed infiltrative shadows in the bilateral upper lung field (Fig. 2a). Chest high-resolution computed tomography (CT) revealed a ground-glass opacity with multiple cysts on the bilateral upper lobes (Fig. 2b, c).
BALF smear stained with a Grocott's stain demonstrated the presence of P. jirovecci cysts (arrow). (Grocott's stein; x 40).
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P. jirovecci cysts (Fig. 3). Polymerase chain reaction testing of P. jirovecci in BALF was also positive.