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You know you are a #hematologist when you see more fungal pneumonia than bacterial pneumonia😭

🔸Why are they so common?
IMMUNOSUPRESSION !

🔸The most common cause?
ASPERGILLUS FUMIGATUS

🔸Treatment of choice?
VORICONAZOLE

Let's run through some common radiological findings👇🏻
Image 👇🏻 shows a "HALO SIGN"

The central "nodule" contains the fungal hyphae, the "halo" around represents hemorrhage caused by the angio-invasiveness of the fungus.

This is an EARLY FINDING !!

It is NOT SPECIFIC for IPA, can be seen in GPA etc.

#MedTwitter Image
A couple of weeks pass by, you treat with voriconazole and the patients neutropenia has also recovered 💪🏼

You repeat a CT and see this👇🏻

This is an "AIR CRESENT SIGN" and signals an improvement in the immune response against aspergillus !!

#MedTwitter Image
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