Unknown 28

Mould identification: a virtual self assessment

Case history

A 44-year-old HIV+ man on antiretroviral therapy presented with chronic sinusitis. A CT scan revealed extensive erosive pansinusitis. An antral washing was performed, hyphal elements were observed on direct microscopy and the culture shown below was grown.

Unknown 28 direct microscopy (PAS)

Direct microscopy (PAS)

Unknown 28 culture

Culture

Unknown 28 microscopy - 1

Microscopy

Unknown 28 microscopy - 2

Microscopy

What is your identification?