Fungal Infections · Pathology

In a patient with AIDS, a lung wash reveals 'crushed ping-pong ball' appearing cysts on GMS stain. What is the diagnosis?

  1. Pneumocystis jirovecii
  2. Aspergillus fumigatus complex
  3. Cryptococcus gattii
  4. Rhizopus oryzae
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Correct answer: Pneumocystis jirovecii

Pneumocystis jirovecii appears as 5-micrometer, cup-shaped or collapsed cysts. These cysts often contain a dark 'comma-shaped' focal thickening and are characteristic of PCP pneumonia.

Difficulty: Medium Question 9 of 20

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