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  1. #1
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    IMG SURVIVOR is offline Moderator 536 points
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    Who is a monomorphic filamentous fungus?

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    A 14-year-old girl receives a bone marrow transplant as part of her treatment for acute lymphoblastic lymphoma. During the period of profound
    immunosuppression before the marrow engrafts, she develops nonproductive cough, fever, mild hemoptysis, and pleuritic chest pain. A plain
    chest x-ray film shows a pleuraI-based wedge-shaped lesion with focal cavitation. Open chest lung biopsy reveals necrosis and hemorrhage.
    Septate fungal forms with dichotomous 45-degree branching are seen in the necrotic areas and involving the walls of several blood vessels.
    When the fungus is cultured, it is found to be a monomorphic fungus.




    Who is a monomorphic filamentous fungus?
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    PBateman is offline Newbie 510 points
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    Sounds like Aspergillus.

  3. #3
    eldano is offline Newbie 510 points
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    That's definetly Aspergillous you got all the clues

    1- immunesuppresion- commonly neutropenia
    2-Hemoptysis
    3- Septate fungal forms with dichotomous 45-degree branching are seen in the necrotic areas and involving the walls of several blood vessels. So you can differentiate from Rhizopus, Candida or Histoplasm
    4- Also Aspergiollous likes Blood Vessels so you will commonly see areas of necrosis in near blood vessels

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    tourentipp is offline Newbie 510 points
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  5. #5
    tourentipp is offline Newbie 510 points
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    Kinderrucksäcke
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    Lawinenausrüstung
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  6. #6
    hanfsamenbestellen is offline Newbie 510 points
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