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Fig. 2 | Surgical Case Reports

Fig. 2

From: Fatal disseminated mucormycosis due to Cunninghamella bertholletiae infection after ABO-incompatible living donor liver transplantation: a case report

Fig. 2

Lung lesion. a, b Pulmonary CT scan images show a small ground-glass nodule in the right upper lobe of the lung on POD 5 (a, yellow arrowhead) and that the size of the nodule gradually increased to 57 × 29 × 33 mm on POD 16 (b, yellow arrowhead). c, d Thoracoscopy identifies the nodule with subserous bleeding in the right upper lobe (segment 3) of the lung (c, white arrowhead), and the specimen obtained by subsegmentectomy consists of necrosis with bleeding but without abscess formation (d, white arrowhead). e Two-day culture from the specimen forms a cotton-like fungus on the plate of Sabouraud dextrose agar. f, g Microscopic findings reveal broad, aseptate hyphae (arrows) with wide-angle branching (arrowheads), suggesting mucor infection. hj Alveolar tissue pathologically includes multiple bleeding necrosis foci with fungal emboli (arrows) in most arteries (hematoxylin and eosin stain). Arteries, including small capillaries, are fully filled by emboli (arrows) surrounding bleeding necrosis. These emboli comprise red blood cells and hyphae (arrowheads), stained with Grocott (i) and periodic acid–Schiff (j). CT computed tomography, POD postoperative day

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