case_images: PMC10757332_01
case_images: Imaging data. (A) Chest X-ray showed multiple patchy and stripe shadows in the lungs. (B) Chest X-ray showed that the pneumothorax in the left lung was worse than before, and the left lung was in atelectasis. (C, D) CT showed new multiple air cysts in both lungs and new left pneumothorax. (E, F) Chest CT showed increased bilateral pleural effusion, enlarged left pneumothorax, and new right pneumothorax. (G, H) Chest CT showed large cavities and abscess cavities in both lungs.
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case_images: PMC10757332_01_fcimb-13-1289235-g001.jpg
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case_images: Test results showed PCT was 72.8ng/mL, C-reactive protein was 216.15mg/L, neutrophil percentage was 94.9%, WBC was 10.31x109/L, and the chest X-ray displayed the presence of multiple patchy and stripe shadows in both lungs ( Figure 1A ). CT showed the presence of newly developed multiple air cysts in both lungs and a new pneumothorax in the left lung ( Figures 1C, D ). Closed thoracic drainage was performed, extracting a significant amount of gas, and purulent and bloody fluid from the drainage tube. CT revealed an escalation in bilateral pleural effusion, enlargement of the left pneumothorax, and the appearance of a new right pneumothorax ( Figures 1E, F ). Closed thoracic drainage was performed on the right side, from which a significant volume of gas, purulent and bloody fluid was visible. On the thirteenth day of admission, the patient was in poor spirits, and the chest X-ray revealed deterioration of the pneumothorax in the left lung, along with left lung atelectasis ( Figure 1B ). Figures 1G, H ). Fiberoptic bronchoscopy revealed congestion and edema of the mucosa in both the left and right main bronchi and the lavage fluid exhibited characteristics resembling meat wash.
case_images: Pathogen culture. (A) On blood agar plates could see large numbers of villous or wooly white colonies. (B) On chocolate plates could see large numbers of villous or wooly white colonies. (C) Colonies on Sabouraud agar plates were seen to be villous, white, with dark olive green in the center and brown on the opposite side. (D, E) Under the microscope, the conidiophore was erect and brown in color. The conidia had 3 separated by 4 cells, of which the third cell was curved, darker, and larger. Red arrow indicates Curvularia lunata..
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case_images: PMC10757332_01_fcimb-13-1289235-g002.jpg
case_images: f2
case_images: After 48 hours of incubation, a significant number of fluffy white colonies appeared on blood agar plates ( Figure 2A ) and chocolate plates ( Figure 2B ), with visible growth of mold hyphae under the microscope. Following a 24-hour incubation period, colonies on the plates exhibited a villous, white appearance with a dark olive green center and brown on the opposite side ( Figure 2C ). The conidia had 3 septa of 4 cells, the third of which was curved, darker in color and larger in size ( Figures 2D, E ).