case_images: PMC10658733_01
case_images: (A,B) On the second admission CT scan, there were diffused bilateral ground glass opacities, predominantly in the upper zone along with increased haziness. The narrowing of the orifice of the left upper lobe (leftward arrow) and the air-bronchogram which was behind it were also observed in the left lung. (C) On the CT scan before re-bronchoscopy, the orifice of the upper lobe of the left lung had still irregularity (leftward arrow); however, the ground glass opacities and haziness were relatively improved. The ground glass opacities had progressed to linear opacity and linear fibrosis.
case_images: fmed-10-1273240-g001.jpg
case_images: PMC10658733_01_fmed-10-1273240-g001.jpg
case_images: fig1
case_images: Despite a negative result for the COVID-19 polymerase chain reaction (PCR) test, the patient's computed tomography (CT) scan revealed the presence of lesions such as bilateral ground glass opacities and narrowing of the left upper lobe orifice (Figures 1A,B). Paranasal sinus (PNS) CT scan showed no involvement of oral cavity and sinuses with mucormycosis (Supplementary Figure S1). Additionally, the CT scan revealed the persistent narrowing of the left upper lobe orifice (Figure 1C).
case_images: The first round of flexible bronchoscopy showed mucosal irregularity, erythema, and edema, along with dark and dirty ulcerative endo-bronchial lesion at the end of left main bronchus.
case_images: fmed-10-1273240-g002.jpg
case_images: PMC10658733_01_fmed-10-1273240-g002.jpg
case_images: fig2
case_images: Mucosal irregularity, erythema, and edema, along with dark and dirty ulcerative endo-bronchial lesion were observed at the end of left main bronchus (Figure 2), through which the scope could not pass. Multiple biopsies were performed from the depth of the lesion in the left main bronchus, and two small objects (with dimensions of 0.5 x 0.5 cm, hard density, and cream color) (Supplementary Figure S2A) were accidentally removed. A foreign body with dimensions of 2.7 x 1.2 cm was removed from the left main bronchus (Supplementary Figure S2B).
case_images: The pathology report, following the first round of flexible bronchoscopy, revealed presence of nonseptated and broad based fungal hyphae consistent with mucormycosis.
case_images: fmed-10-1273240-g003.jpg
case_images: PMC10658733_01_fmed-10-1273240-g003.jpg
case_images: fig3
case_images: The pathology report revealed presence of nonseptated and broad based fungal hyphae consistent with mucormycosis (Figure 3).