PMC5328747_01
CT scan on initial presentation (on left) showed subtle ground glass opacity bilaterally. In spite of broad-spectrum antibiotic coverage, the patient continued to have increasing oxygen requirements. Repeat CT scan performed a few days later (on right) demonstrated new multilobar pulmonary infiltrates.
gr1.jpg
PMC5328747_01_gr1.jpg
fig1
A repeat CT scan showed new multilobar pulmonary infiltrates (Fig. 1).
Initial bonchoscopy illustrating black submucosal vascular lesions.
gr2.jpg
PMC5328747_01_gr2.jpg
fig2
She was started empirically on amphotericin B and bronchoscopy was performed which demonstrated the presence of black vascular lesions (Fig. 2) in the trachea spreading bilaterally.
Repeat bonchoscopy performed 2 days later following administration of amphotericin B shows resolution of black submucosal vascular lesions.
gr3.jpg
PMC5328747_01_gr3.jpg
fig3
Repeat bronchoscopy demonstrated resolution of the black vascular lesions (Fig. 3).