Date: 26 November 2013
22/09/08 This chest radiograph shows bilateral hazy diffuse airspace disease predominating in the lower lungs with subtle nodularity in upper zones.
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Notes:
A 33 year old known Chronic Granulomatous Disorder (CGD) male presented to A&E in respiratory distress and admitted with severe bibasal pneumonia. He had been laying mulch in his garden. He had not been taking any prophylactic antifungal agents. Oxygen therapy was commenced in conjunction with IV bacterial and fungal treatment with Amphotericin B (Fungizone ®). Further consultation and an adverse reaction to the administration of Fungizone ® led to a switch to IV Voriconazole 300mg BD. The patient tested positive for aspergillus antibodies in serum. The patient declined a bronchoscopy, responded well to IV voriconazole and was discharged home 2 weeks post admission on maintenance voriconazole.
Images library
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Title
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Aspergillosis in penguins. Lesions found in fatal cases of captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis. Multiple granulomatous nodules in the parenchyma, characterized by friable necrotic lesions with distorted anatomy of the organ.
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Aspergillosis in penguins. Lesions found in captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis as determined by histology. Adherence areas of air sac to the celomic wall and white-yellowish nodule in the liver.
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Aspergillosis in penguins. Lesions found in fatal cases of captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis. Air sacs thickened with abundant plaque-like caseous and necrotic debris covering the wall with greyish-green fungal colonies on the internal surface.
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Aspergillosis in penguins. Lesions found in fatal cases of captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis. Air sacs thickened with abundant plaque-like caseous and necrotic debris covering the wall with greyish-green fungal colonies on the internal surface.
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Aspergillosis in penguins. Lesions found in fatal cases of captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis. Air sacs thickened with abundant plaque-like caseous and necrotic debris covering the wall with greyish-green fungal colonies on the internal surface.
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Aspergillosis in penguins. Lesions found in captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis.Lung parenchyma with congestion, hemorrhagic and necrotic areas and with multiple white-yellowish granulomatous nodules, ranging from 0.1-1.0 cm in diameter
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Aspergillosis in penguins. Lesions found in captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis. Lung parenchyma with congestion, hemorrhagic and necrotic areas and with multiple white-yellowish granulomatous nodules, ranging from 0.1-1.0 cm in diameter
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Aspergillosis in penguins. Lesions found in captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis.
