Unknown 42

Mould identification: a virtual self assessment

Case history

A 22-year-old male with relapsed acute myeloid leukaemia developed pyrexia, pleuritic chest pain and haemoptysis during re-induction chemotherapy. A chest CT scan showed widespread consolidation. A lung biopsy demonstrated the presence of fungal elements and the fungus shown below was isolated.

Unknown 42 histopathology

Histopathology

Unknown 42 culture

Culture

Unknown 42 microscopy - 1

Microscopy

Unknown 42 microscopy - 2

Microscopy

What is your identification?