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
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Domestic crossbred cat with disseminated aspergillosis. Diff Quik stained squash preparation of material obtained from thoracotomy of a 3 year old domestic crossbred cat with invasive Aspergillus fumigatus infection. The cat had marked enlargement of the hilar lymph nodes that resulted in a partial tracheal obstruction. This smear was made from portions of the hilar lymph node resected at thoracotomy. Magnification x 132.
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English Pointer with nasal aspergillosis. Diff Quik stained cytological smear of material obtained from the frontal sinus of a 7 year old English Pointer with nasal aspergillosis. This infection was caused by Aspergillus fumigatus. Fungal hyphae are beautifully demonstrated by the Diff Quik stain. Magnification x 200.
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Nasal aspergillosis in a Schnauzer. Histological section of fungal plaques removed surgically from the frontal sinus of a 5 year old Schnauzer with nasal aspergillosis. This infection was caused by Aspergillus fumigatus. H & E; x 200.
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Disseminated aspergillosis in a German Shepherd. Masses of fungal hyphae in the renal pelvis of both kidneys in a young German Shepherd dog with disseminated Aspergillus terreus infection.
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Nasal aspergillosis. KOH preparation of fungal plaques surgically removed from the frontal sinus of a Schnauzer with nasal aspergillosis due to Aspergillus fumigatus.
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English Pointer with nasal aspergillosis. English Pointer with nasal aspergillosis treated by topical enilconazole injected through surgically inserted indwelling plastic tubes.
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German Shepherd with disseminated aspergillosis. Unilateral pyelonephritis in a German Shepherd dog with disseminated Aspergillus terreus infection.
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Rottweiler treated with indwelling plastic tubes. Photograph of a Rottweiler crossbred dog treated with indwelling plastic tubes placed surgically into the nasal cavity and frontal sinuses.
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Rottweiler crossbred dog with nasal aspergillosis. A Rottweiler crossbred dog with nasal aspergillosis due to Aspergillus fumigatus infection. Note the loss of pigment below the nostril on the worst affected side – this finding is suggestive of a diagnosis of chronic nasal aspergillosis in the dog.
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Disseminated aspergillosis in a German Shepherd. Hyphae of Aspergillus terreus in the urine of a young German Shepherd dog with disseminated aspergillosis. White blood cells are present in addition to the fungal hyphae. Wet preparation of urine; magnification x 132.
