PMC4587436_01
The CT images are taken roughly from the same level. (a) The CT scan on admission. (b) The CT image from the CT guided biopsy showing new nodules. Note that the patient is prone in this image. (c) The CT image is 9 days after admission and shows continued growth and new nodules.
CRIPU2015-535012.001.jpg
PMC4587436_01_CRIPU2015-535012.001.jpg
fig1
ALT 62 U/L, AST 87 U/L, alkaline phosphatase 158 U/L, total bilirubin 13.2 mg/dL, INR of 2.9, WBC of 16,000/ul with 14,400/uL neutrophils, hemoglobin 7.8 g/dL, and platelets of 167,000/uL. After a CT chest revealed small bilateral cavitary nodules the following day, vancomycin and meropenem were continued along with amphotericin being started with concern for a fungal infection (Figure 1). The CT chest of the biopsy showed a new right upper lobe lesion (Figure 1) despite being on meropenem, vancomycin, and amphotericin.