PMC4841995_01
Chest CTscan showing bilateral pleural effusion
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F1
High-resolution chest computed tomography (CT) scan was requested, which showed bilateral pleural effusion again (Figure 1).
Branched conidiophores and cylindrical conidiogenous cells with tapering tips;lacto-phenol stain (A,B), Yellow -brown colonies of Paecylomyces Variotii (C)
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F2
The fungus was recognized based on its colony morphology, microscopic structures and thermophilicity (Figure 2).
Normal chest X ray of patiet four weeks after treatment.
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F3
After four weeks, the patient had good general condition without any sign or symptom, erythrocyte sedimentation rate was 70mm/h, hemoglobin was 10.8mg/dL and her new chest X ray was clear (Figure 3).