On admission, his body temperature was 38 °C, his pulse rate
was 90 beats per minute, respiratory rate was 20 per minute and
blood pressure was 130/70 mmHg. Oxygen saturation was 98% on
room air. Bilateral rhonchi were heard. Remainder of the physical
examination was unremarkable. A repeat thoracic CT taken on day
0 revealed persistence of the nodule in left lower lobe, while there
was a new loculated pleural collection adjacent to medial right
lower lobe (Fig. 3a). Fluconazole (400 mg i.v. once daily) was
started with the presumptive diagnosis of candida pneumonia,
based on histopathological report.