PMC5779773_01
A, B, CT scan of the lung showing (A) bilateral compressive atelectasis with large pleural effusions in lung window and (B) bilateral large layering pleural effusions in mediastinal window.
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F1
Chest computed tomography (CT) showed bilateral lung scattered inflammatory infiltration and bilateral pleural effusions (Fig. 1).
A, B, C, D fungal culture from blood showing (A) fried egg-like mold colony of P marneffei with a red diffusible pigment on Sabouraud Dextrose agar (after 10 days incubation at 25  C) and (B) yeast colony of P marneffei (after 10 days incubation at 35  C). The mold was smeared for Gram staining from blood culture showing (C) the red and rod-shaped hyphae (red arrow). Lacto-phenol cotton blue stain of P marneffei revealed (D) paintbrush-like clusters hyphae and conidiophores.
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F2
Unexpectedly, the blood cultures were positive for P marneffei, a rare dimorphic fungus which usually causes a fatal infection among HIV-infected individuals (Fig. 2).