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
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Fresh fruit: Fig. A. niger infected Calimyrna fig (smutted right fig) and a healthy fig (left)
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Fresh fruit: Fig. A. niger and A. parasiticus in the same Calimyrna fig
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Fresh fruit: Fig. A. flavus contact (external) spot on Calimyrna figs
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Fresh fruit: Fig. A. carbonarius (felt top), A. niger (top right), A. japonicus (bottom) on Calimyrna figs
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Dried fruit: Peach. Sclerotia of A. niger on mummified peach
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Dried fruit: Peach. Naturally developed sclerotia of A. niger on a peach which then mummified
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Dried fruit: Peach. A mummy of Elegant Lady peach infected with A. niger (loaded with sclerotia)
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Dried fruit: Fig. Mummies of Calimyrna figs following infection by A. niger
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Vegetables: Chili Pepper. A. niger on chili pepper
