PMC6556212_01
Fungal blood culture demonstrating white to tan-colored, velvety and flat colonies with red soluble pigment.
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A fungal blood culture obtained on hospital day 1 grew white to tan-colored, velvety and flat colonies with red soluble pigment (Figure 1) on day 9.
Lactophenol cotton blue staining from fungal blood culture demonstrating septate hyphae and smooth conidia aloft phialides which are borne to metulae.
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Direct microscopic examination of the colonies with lactophenol cotton blue staining demonstrated septate hyphae and smooth conidia aloft phialides directly borne on metulae (Figure 2).
Bone marrow fungal culture demonstrating white to tan-colored, velvety and flat colonies with red soluble pigment.
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A bone marrow culture grew similar colonies to the blood specimen (Figure 3) on day 12 after the procedure.
Contrast-enhanced computed tomography of the whole abdomen demonstrating small hypodense lesion with a thin enhancing rim at the spleen and extensive intra-abdominal lymphadenopathy.
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Contrast-enhanced computed tomography of the abdomen revealed a small hypodense lesion with a thin enhancing rim at the spleen and extensive intra-abdominal lymphadenopathy (Figure 4).