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Images in paediatrics
Angioinvasive aspergillosis
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  1. V K T Nootigattu,
  2. J Sundaram,
  3. A Shabbani,
  4. S D Playfor
  1. Royal Manchester Children’s Hospital, Manchester, UK; ntirupatayyayahoo.com

http://dx.doi.org/10.1136/adc.2003.046599

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    Following chemotherapy for leukaemia, a 6 year old girl developed multiple necrotic mucosal and skin lesions from which Aspergillus flavus was cultured. A chest radiograph (fig 1⇓) revealed bilateral consolidation attributed to either alveolar haemorrhage or aspergillosis. A subsequent computed tomography (CT) scan (fig 2⇓) revealed central cavitation and a unilateral pneumothorax. In invasive aspergillosis initial cavitation, thin ground glass haloes and small pneumothoraces are better detected by CT scan.1

    Figure 1
    Figure 1
    Figure 2
    Figure 2

    Reference

    1. ↵
      Sergiacomi G, Tomiselli A, Grimaldi P, et al. Invasive aspergillosis in the haematologic patient: the usefulness of computed tomographic and high-resolution computed tomographic studies. Radiologia Medica1996;91:377–84.