Date: 26 November 2013
Bilateral upper-lobe cavities in AIDS, pt PC
Copyright: n/a
Notes:
This patient, thought initially to have pulmonary aspergillosis in AIDS, has bilateral upper-lobe cavities, more marked on the left. He presented with fever, nonproductive cough and dyspnoea. Bronchoscopy yielded Aspergillus fumigatus. He refused therapy and died with progressive disease. He is reported as patient 8 in Denning DW, Follansbee S, Scolaro M, Norris S, Edelstein D, Stevens DA. Pulmonary aspergillosis in AIDS. N Engl J Med 1991; 324: 654-662.
Images library
-
Title
Legend
-
4 Total obstruction of the sinuses due to inflamed mucosa. (Patient 04)
-
1 Axial computed tomography (CT) scans of the frontal sinus.
A: due to the long lasting pressure of mucus, the bone of the anterior wall of frontal sinus is thinned out and elevated anteriorly, forming a bulge. B: same situation as depicted in fig A: the posterior bony wall of frontal sinus is thinned out and extremely elevated posteriorly towards the frontal lobe of the brain. As depicted on the scan, a thin bony layer covering the dura could be recognized intraoperatively
-
2 Same patient as 1 and 3, frontal CT
-
D. 6 months later, tenacious yellow secretions in L basal bronchial division
-
C. After suction the material was seen to extend distally – obstructing the right basal stem bronchus
-
B. After suction the material was seen to extend distally – obstructing the right basal stem bronchus
