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Microbiology · Mycology: Aspergillus
Sample itemA neutropenic patient has pleuritic chest pain and a CT halo sign. Tissue shows septate hyphae branching at acute angles. Which infection is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Invasive aspergillosis
Aspergillus forms narrow septate hyphae with acute-angle branching and can invade vessels in neutropenia. Mucorales are broader, sparsely septate, and branch at right angles.
Option by option
A. Pneumocystis pneumonia
Pneumocystis causes diffuse interstitial pneumonia, not invasive septate hyphae.
B. Candidal vaginitis
Vaginal Candida does not cause this pulmonary angioinvasive pattern.
C. Mucormycosis
Mucorales have broad ribbon-like hyphae with wider-angle branching.
D. Invasive aspergillosis (correct)
Correct. The morphology and neutropenic host strongly indicate Aspergillus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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