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.
Copyright: n/a
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
Legend
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Canker: Grapevine. A. niger canker on Crimson Seedless grapes
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Canker: Grapevine. Canker caused by A. niger on trunk of Red Globe grapes
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Blight: Fig leaf. Shoot and leaf blight caused by infection of fig fruit by A. niger
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Fresh fruit: Plum. Infection of Friar plum with A. niger, showing many white sclerotia
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Infection of a fresh Elegant Lady peach by A.niger
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Fresh fruit: Nectarine. A. niger infected Fantasia nectarines showing abundance of white sclerotia
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Fresh fruit: Fig. Sclerotia of A. niger on Calimyrna figs 6 days after inoculation
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Fresh fruit: Fig. Infection of fresh fig by A. niger (early infection)
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Fresh fruit: Fig. A. parasiticus infection on Calimyrna fig
