Date: 26 November 2013
Transverse sections through the thorax of a patient with AIDS, hepatitis C and a left tempero-parietal cerebral lymphoma. His CD4 cell count was 45 x 106 / l. The lymphoma was proven by biopsy after a poor response to anti-toxoplasma therapy. He was given dexamethasone to cover the surgery and then developed diabetes mellitus. He did not receive chemotherapy for his lymphoma but did have 2 cerebral radiotherapy treatments (1.8 Gy each). Three weeks after the biopsy he developed dyspnoea and fever. Shortly after this he developed a right-sided hemiparesis, became comatose and died 2 days later.Autopsy showed a cerebral lymphoma and pulmonary and renal aspergillosis. Aspergillus nidulans was recovered from cultures of lungs and kidney.
Copyright:
Images submitted by Dr. Cornelia Lass-Floerl, University of Innsbruck – Institute of Hygiene; the case team includes: Dr. Mario Sarcletti, Dr. Alfons Stöger and Prof. Hans Maier all at the University of Innsbruck.
Notes: n/a
Images library
-
Title
Legend
-
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.
-
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.
-
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.
-
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.
-
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
-
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
-
Aspergillosis in penguins. Lesions found in captive Magellanic penguins (Spheniscus magellanicus) with aspergillosis.