Case Number : Case 102 Posted By: Guest

Phillip McKee - Overseas consultations (Sedona, Arizona, USA) Wrote:

You are all very good. There are intravascular hyphae (implying fungal septicemia) and therefore the patient is almost certainly immunosuppressed. Although the diagnosis is aspergillosis, fusarium and pseudallescheria enter the differential diagnosis which ultimately depends upon culture. This case was a gift from Nooshin Brinster and it is much appreciated. A wonderful example. I hope that you all have a wonderful weekend and look forward to seeing you on Monday. Phillip

Submitted on 29/10/2010 19:38
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

DDx :Aspergillosis ,fusarium and pseudallescheria.Need culture to differentiate.

Submitted on 29/10/2010 13:54
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ANDREW DANCKWERTS - WITS UNIVERSITY, JHB (JHB, RSA) Wrote:

ANGIOINVASIVE FUNGAL INFECTION WITH BROAD-BASED, ASEPTATE FUNGAL HYPHAE. Dx:ANGIOINVASIVE MUCORMYCOSIS(ZYGOMYCOSIS). IS THE PATIET DIABETIC OR IMMUNOCOMPROMISED?

Submitted on 29/10/2010 12:56
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Aspergillosis

Submitted on 29/10/2010 11:41
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Eman El-Nabarawy - Cairo Univesity (Egypt) Wrote:

Septate hyphae invading blood vessels. DD: apergillosis, Fusariosis, mucormycosis. can not see the regular dichotomous branching of aspergillous, the twisting collapsing nature of mucormycosis, so favor fusariosis

Submitted on 29/10/2010 06:16
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Ema El-Nabarawy - Cairo University (Egypt) Wrote:

Septate hyphae invading blood vessels. DD: apergillosis, Fusariosis, mucormycosis. can not see the regular dichotomous branching of aspergillous, the twisting collapsing nature of mucormycosis, so favor fusariosis.

Submitted on 29/10/2010 06:14
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good evening...Aspergillosis

Submitted on 29/10/2010 00:05
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Miguel Sanz - UAH (Spain) Wrote:

There are large amounts of intravascular fungi, but aditionally I think the stain is colloidal iron and there is mucinous material between collagen fibers. Perhaps a immunosupressed patient with lupus erythematosus victim of intravascular spread of an opportunistic fungal infection.

Submitted on 28/10/2010 23:46
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Septate hyphae invdaing blood vessels. I can see one branching dichotomously in the right half of the field. My diagnosis: Aspergillosis. DDx: Fusariosis.

Submitted on 28/10/2010 22:38
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