case_images: PMC3336246_01
case_images: Two years before his admission he was presented with dyspnea on exception, and on CT imaging emphysema was the main evidence.
case_images: CRIM.ID2011-837146.001.jpg
case_images: PMC3336246_01_CRIM.ID2011-837146.001.jpg
case_images: fig1
case_images: A 50-year-old male, smoker (50 p/y), with a history of alcoholism, severe COPD, bilateral pneumothorax, and tuberculosis due to mycobacterium avium infection, was admitted in our department eight months after antituberculosis treatment initialization due to one-month period of high fever, up to 39.6 C, loss of weight, almost 5 kgr, and productive cough with purulent sputum (Figures 1 and 2).
case_images: Almost one year prior to his admission he was presented with weight loss, fever, and dyspnea and pulmonary tuberculosis due to mycobacterium avium infection was diagnosed. One month after a bilateral pneumothorax (arrows) was diagnosed and pleurodesis was performed.
case_images: CRIM.ID2011-837146.002.jpg
case_images: PMC3336246_01_CRIM.ID2011-837146.002.jpg
case_images: fig2
case_images: A 50-year-old male, smoker (50 p/y), with a history of alcoholism, severe COPD, bilateral pneumothorax, and tuberculosis due to mycobacterium avium infection, was admitted in our department eight months after antituberculosis treatment initialization due to one-month period of high fever, up to 39.6 C, loss of weight, almost 5 kgr, and productive cough with purulent sputum (Figures 1 and 2).
case_images: On scanogram a rather catastrophic view is demonstrated including cavitary lesions, extensive fibrosis, and consolidation mainly at the upper lobes.
case_images: CRIM.ID2011-837146.003.jpg
case_images: PMC3336246_01_CRIM.ID2011-837146.003.jpg
case_images: fig3
case_images: Finally in three different sputum samples Aspergillus flavius was isolated and, a CT scan demonstrated cavitary lesions with shadows, probably due to fungus contamination inside them, especially in the upper left lobe (Figures 3 and 4).
case_images: On a CT scan view of the upper lobes cavity lesions are demonstrated, with new shadows inside them, most probably due to aspergillus infection.
case_images: CRIM.ID2011-837146.004.jpg
case_images: PMC3336246_01_CRIM.ID2011-837146.004.jpg
case_images: fig4
case_images: Finally in three different sputum samples Aspergillus flavius was isolated and, a CT scan demonstrated cavitary lesions with shadows, probably due to fungus contamination inside them, especially in the upper left lobe (Figures 3 and 4).