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Case Reports
, 187 (17), 1305-1308

Chronic Necrotizing Pulmonary Aspergillosis in a Patient With Diabetes and Marijuana Use

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Case Reports

Chronic Necrotizing Pulmonary Aspergillosis in a Patient With Diabetes and Marijuana Use

Tamara Leah Remington et al. CMAJ.

Figures

Figure 1:
Figure 1:
Radiograph of the chest on admission of a 29-year-old man with type 1 diabetes who presented to the emergency department with shortness of breath and chest pain. (A) Posterior–anterior view showing left pneumothorax (arrow) and air space disease in the left lower lobe (circle). (B) Lateral view showing left pneumothorax (arrow). The left lower lobe consolidation seen on the posterior–anterior view is poorly identified on the lateral view.
Figure 2:
Figure 2:
Computed tomography of the chest showing consolidation and cavitation in the left lower lobe, annexing the pleura (red arrow). Pneumothorax (yellow arrow), a chest tube (blue arrow) and subcutaneous emphysema are also shown.
Figure 3:
Figure 3:
Histopathologic examination of biopsy specimens from the wedge resection of the left lower lobe of the lung. (A) Hematoxylin and eosin stain showing fungal elements (white arrow) within a bronchiole (black arrow) surrounded by inflammatory cells. (B) Gomori methenamine silver stain showing diffuse fungal elements (white arrow) within a bronchiole (original magnification × 40).

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