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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Candida keratitis. Severe candidal keratitis in an elderly male. Ocular surface exposure due to dysthyroid eye disease was the predisposing cause.
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Candida keratitis. Candida growing on the ocular surface of an immunocompromised patient without corneal involvement. In fact FK is exceptional in such patients.
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Intestinal aspergillosis. Histopathology of the jejenum showing necrosis and hyphae consistent with Aspergillus.
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Emericella nidulans (Eidam), Anamorph: Aspergillus nidulans (Eidam) – Ascospores
