case_images: PMC10588994_01
case_images: (A) Pulmonary CT showed bilateral patchy, cord-like high-density
  foci, and patchy ground glass shadows, with blurry edges and partial
  consolidation; (B) Abdominal CT revealed there was multiple gas in the
  right kidney surrounded by exudation shadows.
case_images: 1678-9946-rimtsp-65-S1678-9946202365054-gf01.jpg
case_images: PMC10588994_01_1678-9946-rimtsp-65-S1678-9946202365054-gf01.jpg
case_images: f01
case_images: Pulmonary CT showed bilateral patchy, cord-like high-density foci, and patchy ground glass shadows, with blurry edges and partial consolidation (Figure 1A). Abdominal CT revealed the presence of multiple gas in the right kidney surrounded by exudation shadows (Figure 1B).
case_images: (A) Gram staining of BALF revealed wide, aseptate hyphae, x1000; (B)
  Cotton-fluffy growth colony was isolated from BALF after 24-hour culture
  on Sabouraud dextrose agar; (C) Lactophenol-cotton blue stain showed
  stolons and pigmented rhizoids and opposite sporangiophores from nodes
  directly above the rhizoids, x400; (D) Calcofluor white staining of
  urine revealed wide, aseptate hyphae, x1000.
case_images: 1678-9946-rimtsp-65-S1678-9946202365054-gf02.jpg
case_images: PMC10588994_01_1678-9946-rimtsp-65-S1678-9946202365054-gf02.jpg
case_images: f02
case_images: On day 6 of admission, the Gram staining of BALF revealed wide, aseptate hyphae (Figure 2A). Cotton-fluffy growth colony was isolated from BALF after 24-h culture on Sabouraud dextrose agar (Figure 2B), which was suspected to be Rhizopus based on aseptate hyphae, characterized stolons, pigmented rhizoids, and opposite sporangiophores from nodes directly above the rhizoids seen on the lactophenol-cotton blue stain (Figure 2C). On day 8 of admission, calcofluor white staining of urine revealed wide, aseptate hyphae (Figure 2D), and Rhizopus microspores was also isolated from his urine culture.