case_images: PMC10919296_01
case_images: Chest CT scan, evidence of S3 consolidation, and cavitation of the left hemithorax.
case_images: ZECR_A_2325170_F0001_B.jpg
case_images: PMC10919296_01_ZECR_A_2325170_F0001_B.jpg
case_images: f0001
case_images: C. Computed tomography revealed a lobar consolidation with a cavitated area in S3 of the left lung, as well as a reduction of the rib cage on the same side (Figure 1). 
case_images: Lophomonas (black arrow) detected in the bronchoalveolar lavage fluid by microscopic observation: direct smear (x100).
case_images: ZECR_A_2325170_F0002_PB.jpg
case_images: PMC10919296_01_ZECR_A_2325170_F0002_PB.jpg
case_images: f0002
case_images: Four days after the bronchofibroscopy, the results of bronchoalveolar lavage indicated the presence of trophozoites of Lophomonas sp. with long and irregular flagella under direct microscopy, without additional staining (Figure 2).
case_images: PMC10919296_02
case_images: Chest CT scan, evidence of a cavity with content compatible with mycetoma, and multiple bronchiectasis in S1 and 2.
case_images: ZECR_A_2325170_F0003_B.jpg
case_images: PMC10919296_02_ZECR_A_2325170_F0003_B.jpg
case_images: f0003
case_images: Non-contrast chest tomography showed sequelae bronchiectasis due to tuberculosis, with acute inflammatory signs and the presence of intracavitary mycetoma in the apical segments of the left hemithorax (Figure 3).
case_images: Sequential microscopic examination of Lophomonas (black arrow) in the direct smear of bronchial aspirate.
case_images: ZECR_A_2325170_F0004_PB.jpg
case_images: PMC10919296_02_ZECR_A_2325170_F0004_PB.jpg
case_images: f0004
case_images: Direct microscopy identified Lophomonas sp. with multiple flagella at one pole with characteristic to-and-fro movements (Figure 4).