Unknown 46

Mould identification: a virtual self assessment

Case history

A 40-year-old male presented with 65% total body surface area burns with circumferential injury to his lower legs. Despite aggressive surgical intervention, including recurrent debridement, bilateral below knee amputation and skin grafting, he died 55 days after the injury. The culture shown below was isolated.

Unknown 46 culture

Culture

Unknown 46 microscopy - 1

Microscopy

Unknown 46 microscopy - 2

Microscopy

Unknown 46 microscopy - 3

Microscopy

What is your identification?