case_images: PMC10323781_01
case_images: (a) Multiple thick-walled peripheral cavities in bilateral lung parenchyma, diffuse patchy consolidation in bilateral lower lung lobes and hydropneumothorax in the right pleural space (chest HRCT image). (b) Aspergillus flavus. The obverse side of the culture plate shows a velvety, yellow to green colony. (c) The LPCB mount showing biseriate phialides covering the entire vesicle.
case_images: acmi-5-457-g001.jpg
case_images: PMC10323781_01_acmi-5-457-g001.jpg
case_images: F1
case_images: Further, there was diffuse patchy consolidation in bilateral lower lung lobes and hydropneumothorax in the right pleural space (Fig. 1a). GeneXpert analysis for   Mycobacterium tuberculosis   (MTB) and repeat fungal culture. GeneXpert analysis was negative for MTB but fungal culture on SDA medium containing chloramphenicol, incubated at 25  C, revealed the growth of A. flavus on the fourth day of incubation, with a velvety yellow to green colony having a granular texture on the obverse side (Fig. 1b), and a cream-coloured colony on the reverse side. Rough, pitted and spiny conidiophores with a biseriate arrangement of phialides covering the upper two-thirds or the entire vesicle were observed. (Fig. 1c).