A 59-year-old kidney transplant patient presented after 1 week of low-grade fevers and non-productive cough. A CT scan of the lungs showed multiple mass-like lesions scattered bilaterally throughout, concerning for post-transplant lymphoproliferative disease or an infectious process. She underwent a bronchoalveolar lavage (BAL) with biopsy of a left upper lobe mass. Images of the Gram stain and modified acid-fast stain are shown in the figures below.
This quiz is no longer available.Sarah Jung, Ph.D. Fellow, Clinical Microbiology Mayo Clinic @JungASarah |
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Nancy Wengenack, Ph.D. Consultant, Clinical Microbiology Mayo Clinic Professor of Laboratory Medicine and Pathology Mayo Clinic College of Medicine and Science |
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Courtney Klapperich, MLS(ASCP) Education Specialist Instructor in Laboratory Medicine and Pathology Mayo Clinic College of Medicine and Science |