Date: 26 November 2013
renal transplant patient
Copyright:
Kindly provided by Iván Solano Leiva, Infectious Diseases MD, Instituto Salvadoreno del Seguro Social, El Salvador.
Notes:
A 54 yr old male patient who underwent a renal transplant one year earlier. The patient noticed a lesion on left plantar region, it was not painful but was slowly enlarging (over 9 months). In the latter 3 months the lesion became slightly purulent. Multiple cycles of antibiotics gave no improvemnt. Culture of the discharge produced Aspergillus niger. The final diagnosis of this patient was Aspergillus osteomyelitis. The patient was treated with voriconazole orally 200 mg twice daily.
Images library
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Sclerotial strains produce bright yellow, floccose mycelia. Sclerotial strains produce small numbers of large, fused sclerotial bodies in discrete pockets hidden within the mycelium.
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Aspergillus alliaceus. No branching was observed in A. alliaceus conidiophores. Sclerotial strains typically produce large numbers of exposed, uniformly-shaped sclerotia across the mycelial surface.
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Aspergillus alliaceus – Sclerotial. A. alliaceus strains produce flat, pale mycelia that darken as the culture ages.Sclerotial strains typically produce large numbers of exposed, uniformly-shaped sclerotia across the mycelial surface.
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A. alliaceus strains produce flat, pale mycelia that darken as the culture ages.Sclerotial strains typically produce large numbers of exposed, uniformly-shaped sclerotia across the mycelial surface.