56-year-old male patient:
* After kidney transplantion presented with cough
What are the findings?
What are the findings?
Multiple intrapulmonary consolidations with peripheral ground-glass opacities.
No bronchial obstruction.
No pathologically enlarged lymph nodes
What is the most likely diagnosis?
What is the most likely diagnosis?
Fungal infection (Rhizopus infection)
Fungal infections in immunocompromised patients may manifest as intrapulmonary nodules or consolidations with peripheral ground glass opacities. May lead to cavitation, pseudoaneurysm formation and bleeding
Treatment in this case: Anti-fungal systemic therapy
Patient died 5 months thereafter from pulmonary artery aneurysmal bleeding
….aree di addensamento parenchimale da tromboembolismo.
A good differential diagnosis that will trigger cardiac echocardiography
Halo sign .
angioinvasive aspergillosis.
Correct, first differential diagnosis in a transplant patient
COP
Excellent idea! indeed COP is one of the top differential diagnoses. However, in an transplant patients patient fungal infection (aspergillosis) should be first on the list
Angioinvasive aspergillosis