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Volume 27, Number 10—October 2021
Research Letter

Emergomyces orientalis Emergomycosis Diagnosed by Metagenomic Next-Generation Sequencing

Da He1, Min Quan1, Hongyan Zhong, Zhixing Chen, Xiaohui WangComments to Author , Fang He, Junyan Qu, Taoyou Zhou, Xiaoju Lv, and Zhiyong Zong
Author affiliations: West China Hospital of Sichuan University, Chengdu, China (D. He, M. Quan, Z. Ghen, X. Wang, F. He, J. Qu, T. Zhou, X. Lv, Z. Zong); Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu (H. Zhong); Center for Infectious Diseases, Yaan People’s Hospital, Yaan, China (X. Wang)

Main Article

Figure

Emergomyces orientalis infection in a kidney transplant patient from Tibet. A) Pulmonary consolidation with the air bronchogram sign shown on a computed tomography scan. B) Microbes stained with Grocott-Gomori's methenamine silver in the bronchoalveolar lavage fluid sample (original magnification ×1,000). C) Pathological image of 1 yeast cell shown by electron microscopy in a necrotizing granuloma from paraffin-embedded pulmonary tissue (original magnification ×16,000). D) Tiny, slightly raised white colonies on Sabouraud agar on day 20 at 25°C (left) and grayish yellow furrowed colonies on blood agar on day 30 at 35°C (right) isolated from bronchoalveolar lavage fluid samples. E) Specific secondary α-shaped conidiophore shown with fluorescent calcium staining (original magnification ×1,000). F) Ultrasound revealed a soft tissue abscess in the patient’s right subcostalis.

Figure. Emergomyces orientalis infection in a kidney transplant patient from Tibet. A) Pulmonary consolidation with the air bronchogram sign shown on a computed tomography scan. B) Microbes stained with Grocott-Gomori's methenamine silver in the bronchoalveolar lavage fluid sample (original magnification ×1,000). C) Pathological image of 1 yeast cell shown by electron microscopy in a necrotizing granuloma from paraffin-embedded pulmonary tissue (original magnification ×16,000). D) Tiny, slightly raised white colonies on Sabouraud agar on day 20 at 25°C (left) and grayish yellow furrowed colonies on blood agar on day 30 at 35°C (right) isolated from bronchoalveolar lavage fluid samples. E) Specific secondary α-shaped conidiophore shown with fluorescent calcium staining (original magnification ×1,000). F) Ultrasound revealed a soft tissue abscess in the patient’s right subcostalis.

Main Article

1These authors contributed equally to this article.

Page created: August 18, 2021
Page updated: October 01, 2021
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