PMC7191206_01
Skin lesions on admission. (A) Erythema with crusting and ulcerations (red arrow) on the forehead. (B) Pustules (black arrow) on the neck. (C) Vesicles (black arrowhead) on the right ankle.
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Dermatologic examination revealed various skin lesions, including erythema with crusting, ulcerations, vesicles, and pustules on the forehead, neck, left earlobe, and extremities (Fig. 1).
Plain computed tomography findings. (A) Multiple peripheral lung nodules with bilateral pleural effusion on admission. (B) Cavitation at the right upper lobe on admission. (C) Worsening cavitation on day 10.
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Plain computed tomography (CT) of the chest demonstrated multiple peripheral lung nodules with bilateral pleural effusion, emphysematous changes, and cavitation at the right upper lobe (Fig. 2). Plain CT of the chest demonstrated diffuse infiltrates, increased pleural effusion, and worsening of the cavitary lesion at the right upper lobe (Fig. 2).
Culture from bronchoalveolar lavage sample. Thin filamentous branching gram-positive bacteria were observed with Gram staining.
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On the fifth day of admission, the BALF culture grew thin filamentous branching gram-positive bacteria with acid-fast-positive staining (Fig. 3).