Date: 26 November 2013
These pictures show remarkable curvature of the spine as a result of collapse of the vertebral bodies of the thoracic vertebrae. This is a gross example of steroid-induced osteoporosis. The dose was not large in the last 10 years, typically 5-10mg daily, but multiple high dose courses and slow tapering lead to this outcome.
Her corticosteroid warning card is also demonstrated, as additional steroids are required for any significant illness or surgery, as her adrenal glands had completely atrophied.
Kindly supplied by Prof David Denning, South Manchester University Hospitals NHS Trust, Manchester UK
(© Fungal Research Trust)
Copyright:
Kindly supplied by Prof David Denning, South Manchester University Hospitals NHS Trust, Manchester UK
Notes:
Images library
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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.
 due to long term steroid use){kind=link}