Secondary metabolites, 3D structure: Trivial name – Antimicrobial metabolite 1

Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS.

Chest X ray (+64 days)

Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS.

Chest X ray (+day 42)

Immune reconstitution syndrome (mucous impaction or obstructing bronchial aspergillosis) complicating pulmonary aspergillosis in AIDS

Chest X ray (+day 14)

Orbital aspergillosis with late fungemia

Chronic fibrosing pulmonary aspergillosis

Chronic fibrosing pulmonary aspergillosis pt RS.

Pleural thickening followed by CNPA

Image G. 14/5/99
Showing progression of the cavity with some debris inside

Pleural thickening followed by CNPA

Image F. 14/5/99
Compare with B, showing progressive enlargement of cavity and formation of fungal ball.

Pleural thickening followed by CNPA

Image E 14/5/99
Showing enlargement of cavity at left apex and formation of a new cavity there.

Pleural thickening followed by CNPA

Image D 30/3/99
One medium sized irregular cavity at left apex

Pleural thickening followed by CNPA

Image C. 30/3/99
Parenchymal or pleural disease adjacent to the mediasternum on the left with diffuse parenchymal disease. Also pleural based nodules bilaterally.