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case_images: Chest computed tomography (CT) scan showed bilateral consolidation with left predominance.
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case_images: C-reactive protein (CRP) 38 mg/dL (NV: 0-5 mg/dL), procalcitonin 0.23 (NV: 0.25-0.50 mg/dL), ferritin 118 ng/mL (NV: 12-300 ng/mL), and D-dimer 450 ng/mL (NV: < 500 ng/mL). Chest computed tomography (CT) scan showed bilateral consolidation with left predominance (Figure 1).
case_images: The bronchoscopy image. The bronchoscopy image shows white mucous secretions at the entrance of the left main bronchus and scattered whitish plaques along the bronchial mucosa.
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case_images: On hospital day 2, once the patient was hemodynamically stable, fiberoptic bronchoscopy was performed, wherein thick whitish mucous secretions obstructing the bronchial lumen were observed (Figure 2).
case_images: Atelectasis of the left lung is observed on the chest X-ray.
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case_images: On hospital day 4, sedation and ventilator weaning were started; however, atelectasis of the left lung was noted (Figure 3).
case_images: Microbiological detection of microorganism: (A) isolated colonies of C tropicalis in Agar Saboraud Dextrose with chloramphenicol. (B) Fresh preparation microscopy and KOH smear show blasticonidia and pseudohyphae typical of C tropicalis. The identification was made by MALDI-TOF Biotyper mass spectrometry version 3.1 of Bruker daltonik GmbH.
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case_images: In addition, MALDI-TOF Biotyper mass spectrometry identified C tropicalis (Figure 4).
case_images: High-resolution CT scan of the patient. High-resolution CT scan of the chest taken 1 month after discharge shows scarce cylindrical bronchiectasis.. Abbreviation: CT, computed tomography.
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