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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The following images were obtained by endoscopy of falcons with aspergillosis. A Lung Worm (serratospiculum sp.) B Lying in betweeen loops of the intestine.C An aspergillus lesion in between the loops of the intestineD Showing cranial pole of left kidney, ovary and oviduct.
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Cultures were grown on malt extract agar. Light microscopy at 1000x stained with lacto-phenol cotton blue.
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Cultures were grown on malt extract agar. Light microscopy at 1000x stained with lacto-phenol cotton blue.
