This makes the patient extremely susceptible to opportunistic infections.Furthermore, eight months post his renal transplant, the 45-year-old farmer, is presented again to the hospital with a history of respiratory distress. The patient is under severe pain since he is able to speak with utmost difficulty on his part. The X-ray showed bilateral fluffy infiltrates. The culture examination of the sputum sample collected did not reveal any bacterial growth. Even though no bacteria are found, the patient is still treated with antibiotics, which would inevitably prove to be ineffective. It can therefore be confirmed that there were colonies of fungal infection of the lungs. These infections were found to grow on the Sabourand agar, which is the selective medium for fungi. The sabourand agar is the highly effective and most prominent medium utilized for the isolation of yeast and fungi. The fact that the location of the patient is on a farm is also very indicative of fungal infection where spores abound.The most likely fungus, which is found at a greater percentage in immunocompromized patients, includes Cryptococcusneoformans, Aspergillus, and Candida. Apart from this, the thermally dimorphic fungi could also be the cause of the symptoms. These fungi could cause conditions such as Paracoccidioidomycosis, Histoplasmosis, Coccidioidomycosis and Blastomycosis all of which the highly suggestive cause of pulmonary infections.The most effective results of the therapies for fungal infections are observed only in cases when the infection is a long-term process and treated at early stages of the condition. In such a patient there would have been a higher probability of premature detection if the farmer had been advised regular monthly medical checkups after the surgery in which suitable intrusion and changes in lifestyle could have been suggested. However, the patient was presented at a very late stage and thus it was impossible to cure him with antibiotics. The normal physiological parameters like Hemoglobin, creatinine, SGOT/SGPT, total as well as differential leukocyte counts and Blood Glucose level of the patient clearance also should have been checked on his presentation at the hospital. Following which, essential hospitalization with intensive care, if needed, should have been recommended. Apart from the standard techniques, several newer diagnostic techniques like computerized axial tomography of the thoracic region along with PCR
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