Unknown 30

Mould identification: a virtual self assessment

Case history

A 64-year-old woman received a left single-lung transplant for end-stage idiopathic pulmonary fibrosis. Her postoperative course was relatively uncomplicated for 7 months, when deteriorating pulmonary function consistent with clinical bronchiolitis obliterans syndrome gradually developed. Multiple cultures of the BAL and sputum grew the fungus shown below.

Unknown 30 culture - 1

Culture

Unknown 30 culture - 2

Culture

Unknown 30 microscopy - 1

Microscopy

Unknown 30 microscopy - 2

Microscopy

What is your identification?