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 Indian J Med Microbiol  
 

Figure 5 (A-D): Spectrum of pulmonary infections in patients on chemotherapy. (A) CT image of a 12-year-old male with B-cell acute lymphocytic leukemia who developed fever on Day 29 of induction showing large consolidation in the right lower lobe and right middle lobe, suggesting lobar pneumonia. (B) Multiple foci of airspace opacities with surrounding ground glass densities in the same patient after 4 months of the previous imaging, suggesting invasive fungal infection. Patient improved on antifungal treatment. (C) CT image of a different patient on maintenance therapy for acute lymphocytic leukemia, who developed fever and nonproductive cough, shows bilateral patchy ground-glass opacities, with no pleural effusion and suspicion of Pneumocystis pneumonia was raised. The patient showed improvement with trimethoprim/sulfamethoxazole. (D) Febrile neutropenia in a patient of acute myeloid leukemia on Day 28 of chemotherapy, Chest CT shows consolidation with cavitatory changes and centrilobular nodules in tree-in-bud pattern suggesting endobronchial infection. Sputum analysis revealed multidrug-resistant tuberculosis

Figure 5 (A-D):  Spectrum of pulmonary infections in patients on chemotherapy. (A) CT image of a 12-year-old male with B-cell acute lymphocytic leukemia who developed fever on Day 29 of induction showing large consolidation in the right lower lobe and right middle lobe, suggesting lobar pneumonia. (B) Multiple foci of airspace opacities with surrounding ground glass densities in the same patient after 4 months of the previous imaging, suggesting invasive fungal infection. Patient improved on antifungal treatment. (C) CT image of a different patient on maintenance therapy for acute lymphocytic leukemia, who developed fever and nonproductive cough, shows bilateral patchy ground-glass opacities, with no pleural effusion and suspicion of Pneumocystis pneumonia was raised. The patient showed improvement with trimethoprim/sulfamethoxazole. (D) Febrile neutropenia in a patient of acute myeloid leukemia on Day 28 of chemotherapy, Chest CT shows consolidation with cavitatory changes and centrilobular nodules in tree-in-bud pattern suggesting endobronchial infection. Sputum analysis revealed multidrug-resistant tuberculosis