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case_images: (A) Chest CT on March 2, 2024, showed multiple nodules and patchy areas of increased density in both lungs, with gas density shadows observed inside the larger nodules, indicating the possibility of an Aspergillus infection, as well as pleural effusion on both sides. (B) Chest CT on March 12, 2024, showed that the multiple nodules and patchy areas of increased density in both lungs were similar in severity to those observed on March 2, 2024, with gas density shadows seen inside the larger nodules, although their size had reduced compared to the previous scan. (C) Chest CT on April 7, 2024, indicated that the multiple nodules and patchy areas of increased density in both lungs, with gas density shadows seen inside the larger nodules and pleural effusion on both sides, had significantly reduced in size compared to the findings on March 12, 2024. (D) Chest CT performed at another hospital on April 21, 2024, showed that the inflammatory lesions in the patient's lungs had significantly absorbed and improved.
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case_images: Chest computed tomography (CT) (Figure 1A) revealed multiple nodules and patchy areas of increased density in both lungs, with gas density shadows observed within the larger nodules, suggesting the possibility of an Aspergillus infection, as well as pleural effusion on both sides. The patient continued to experience intermittent fever, and a chest CT performed on March 12, 2024 (Figure 1B), yielded results similar to those previously observed. Furthermore, a chest CT performed on April 7, 2024 (Figure 1C) showed that the previously observed multiple nodules and patchy areas of increased density in both lungs, along with gas density shadows and pleural effusion, had significantly reduced relative to those seen on March 12, 2024. After 14 days, the patient's clinical condition and imaging findings (Figure 1D) improved, and platelet counts returned to normal (176x109/L).
case_images: The patient's dorsalis skin of the right foot was ulcerated.
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case_images: Scattered bleeding spots were noted on both lower limbs, and the dorsum of the right foot exhibited an ulcer (Figure 2).
case_images: Coverage of Staphylococcus aureus detected by mNGS in BALF sample.
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case_images: Ultimately, the mNGS result indicated that the sequence number of S. aureus was 411817, with coverage of S. aureus detected in the BALF sample as shown in Figure 3.
case_images: Timeline of the patient's diagnosis, treatment, and follow-up.
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case_images: Figure 4 summarizes the timeline of the patient's diagnosis, treatment, and follow-up.