Case Number : Case 39 Posted By: Guest

Phillip McKee - Overseas consultations (USA) Wrote:

I forgot to mention that the culture in this case was Aspergillus

Submitted on 03/08/2010 21:00
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Phillip McKee - Overseas consultations (USA) Wrote:

Aspergillosis is the correct answer. Aspegillus shows dichotomous branching at 45 degrees, uniform septation and has an arboreal growth pattern. Fusarium is also septate and branches more variably from an acute angle through to 90 degrees. However, culture is the best way to identify the fungus

Submitted on 03/08/2010 20:58
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Rodrigo Restrepo - UPB (Mdlln/Colombia) Wrote:

My opinion is Fusarium.

Submitted on 03/08/2010 19:17
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Ana Cristina Ruiz - Universidad CES (Medellín Colombia) Wrote:

Hyaline and septate hyphae with 45 degree branching. Fusarium or Aspergillus. The morphology is more consistent with fusarium, but the diagnosis depends on the results of culture.

Submitted on 03/08/2010 16:15
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Phillip McKee - Overseas consultations (USA) Wrote:

Good morning all. It is proving difficult to catch you out!! You are in the correct ball-park. More later.

Submitted on 03/08/2010 14:30
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Marcela Saeb Lima - MSL Dermatopato (Mexico City) Wrote:

It looks like an intravascular septate hyphae, most probable apergillus, woud also consider fusarium

Submitted on 03/08/2010 14:14
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Richard Carr - Warwick (UK) Wrote:

I have not seen fusarium (we don't get a lot down our way) but if it is a very septated fungus with 45 degree branching then I would accept this case. I had thought of aspergillus but have not seen quite so closely septated fungi in aspergillus before. Lovely image.

Submitted on 03/08/2010 10:46
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Miah Singh - (Uk) Wrote:

Septate fungal hyphae ? aspergillus

Submitted on 03/08/2010 09:32
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Eman El-Nabarawy - Dermatology Department,Faculty of Medicine, Cairo university. (Egypt.) Wrote:

Non pigmented, septate ,branching hyphae at an acute angles,in an area of necrosis:DD fusariosis or Aspergillosis.

Submitted on 03/08/2010 05:15
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Septate hyphae invading vessel wall. Fusarium or Aspergillosis.

Submitted on 03/08/2010 05:08
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good evening..... fusarium?

Submitted on 03/08/2010 00:27
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