56-year-old male patient:
After kidney transplantion presented with cough
Findings:
Multiple intrapulmonary consolidations with peripheral ground-glass opacities . No bronchial obstruction. No pathologically enlarged lymph nodes
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.