case_images: PMC11789954_01
case_images: PMC11789954_02
case_images: Axial high-resolution CT image demonstrates multiple areas of dilated bronchi with wall thickening (blue arrow), multiple small nodular opacities, parenchymal calcifications and few patchy areas of fibrosis with traction bronchiectatic changes in bilateral upper and lower lobes
case_images: LI-42-55-g001.jpg
case_images: PMC11789954_02_LI-42-55-g001.jpg
case_images: lungindia.lungindia_189_24-F1
case_images: HRCT thorax showed multiple areas of dilated bronchi with wall thickening involving bilateral lungs, multiple small nodular opacities and interstitial thickening [Figure 1].
case_images: (a) Sputum culture on a SDA incubated at 22-25 C showing yellowish green powdery colonies of T. marneffei along with that growth of Pseudomonas aeruginosa is visible. (b) Wet mount with LCB showing mycelial form of T. marneffei with brush-like conidiophores, metulae, phialides and conidia
case_images: LI-42-55-g002.jpg
case_images: PMC11789954_02_LI-42-55-g002.jpg
case_images: lungindia.lungindia_189_24-F2
case_images: Surprisingly, on the sixth day of admission sputum fungal culture in Sabouraud dextrose agar (SDA) showed moderate growth of penicillium species and wet mount with Lactophenol cotton blue (LCB) showed brush-like structures typical of genus Penicillium [Figure 2a and b].