case_images: PMC11288846_01
case_images: The timeline of the patient' disease progression. Gingivitis and oral hygiene of the patients (A); 16-slice computerized tomography images of the chest at initial diagnosis of the patient, neck (B), upper lobe (C), lower lobe (D); 16-slice computerized tomography images of the chest in the advanced stage of the patient, neck (E), upper lobe (F), lower lobe (G).
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case_images: PMC11288846_01_fmed-11-1424564-g001.jpg
case_images: fig1
case_images: The body temperature was 38.6 C, the gums were red and swollen (Figure 1A), the pharynx was congested, and the tonsils were bilateral II degree enlarged. The patient underwent chest CT, which revealed multiple solid opacities in the right lung (Figures 1B-D). A repeat CT scan of the chest was performed, which revealed a markedly enlarged area of patchy hyperdensity in the right lung and spread to the left lung (Figures 1E-G).
case_images: Picture of the bronchus of the right lung of the patient under a fiberoptic bronchoscope (A, main bronchus; B, lower lobe bronchus; C, basal segment bronchus) and microbe detected by fiberoptic bronchoscopic lavage fluid smear (D, culture original; E, micrograph of pathogenic bacteria; F, the standard acid-fast stain; G, the modified weakly acid-fast).
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case_images: PMC11288846_01_fmed-11-1424564-g002.jpg
case_images: fig2
case_images: No tumor or severe inflammation was found in the trachea by fiberoptic bronchoscopy (Figures 2A-C). As an unexpected bonus, Nocardia was found the bronchoalveolar lavage fluid smear and a week of culture (Figures 2D-G).
case_images: 16-slice computerized tomography images of the chest during follow-up after the patient was cured. (A) Neck; (B) upper lobe; (C) lower lobe.
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case_images: PMC11288846_01_fmed-11-1424564-g003.jpg
case_images: fig3
case_images: Subsequent follow-up chest CT showed that the lesions in both lungs were basically absorbed (Figures 3A-C).