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Disseminated Trichosporon asahii infection

Imaging findings

CT scan of an immunocompromised female with MDS shows a dense lower lobe consolidation with air bronchograms. Bronchoalveolar lavage grew Trichosporon asahii.

Key takeaways

Trichosporon asahii is an opportunistic, soil-dwelling yeast that can cause fatal systemic infections in neutropenic patients. Unlike Aspergillus, it can present with dense consolidation and air bronchograms, resembling bacterial pneumonia.

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