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  Indian J Med Microbiol
 

Figure 1: Acid-fast stain of bronchoalveolar lavage fluid showed acid-fast positive bacteria similar to tuberculosis bacilli; however, most of it presented with longer, thicker, and hyphae-like branching at 90° compared with tuberculosis bacilli (b and c: N. farcinica; d: tuberculosis bacilli). Chest CT showed patchy abnormal density shadows in the upper lobes of both lungs, thus suggesting the infection of both lungs. (a) Brain MRI images revealed abnormal lamellar signals in bilateral cerebellum, which were in accordance with the infection of bilateral cerebellum (e)

Figure 1: Acid-fast stain of bronchoalveolar lavage fluid showed acid-fast positive bacteria similar to tuberculosis bacilli; however, most of it presented with longer, thicker, and hyphae-like branching at 90° compared with tuberculosis bacilli (b and c: <i>N. farcinica</i>; d: tuberculosis bacilli). Chest CT showed patchy abnormal density shadows in the upper lobes of both lungs, thus suggesting the infection of both lungs. (a) Brain MRI images revealed abnormal lamellar signals in bilateral cerebellum, which were in accordance with the infection of bilateral cerebellum (e)