PMC8040071_01
Bone marrow images at the first admission. Pathological change with multi-lineage myelodysplasia, including erythropathy (megaloblastic changes, (A)), granulocytopathy (rod thickening of neutrophils, (B); binuclear, (C)), megakaryocytopathy (binuclear, (D)) and blasts (E).
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In 2019, she was admitted to the hospital with increased bone marrow blasts (10% vs 4%) and decreased megakaryocytes with small round separated nuclei (Figure 1A-E, Table 1).
Computed tomography (CT) manifestation of recurrent pulmonary infection. The recurrent pneumonia was observed during the hospitalization (A), and could be relieved by multiple antibiotic treatments (B). (C) showed exacerbation of infection before the detection of mycobacterium kansasii (with air bronchogram and pulmonary consolidation), and the situation did not get improved after multiple treatments (D).
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During hospitalization, she was infected with recurrent pneumonia, which could be relieved by multiple antibiotic treatments (Figure 2A and B). Two months later, the symptoms of fever and pneumonia re-appeared again (Figure 2C).  Next, the patient was treated with tigecycline, ceftazidime, and voriconazole according to the manifestation of lung computed tomography (CT) scan (Figure 2D).