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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Secondary metabolites, structure diagram: Trivial name – 5,7-Dihydroxy-6-methylphthalide
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Secondary metabolites, structure diagram: Trivial name – 5-methoxysterigmatocystin
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Secondary metabolites, structure diagram: Trivial name – 6-Deoxyversicolorin A
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Secondary metabolites, structure diagram: Trivial name – aflatoxicol B
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Secondary metabolites, structure diagram: Trivial name – Aflatoxin B2a
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Secondary metabolites, structure diagram: Trivial name – Aflatoxin B3
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Secondary metabolites, structure diagram: Trivial name – Aflatoxin D1
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Secondary metabolites, structure diagram: Trivial name – Aflatoxin G2a
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Secondary metabolites, structure diagram: Trivial name – aflatoxin M2
