24 February 2025
: Case report 
Severe COVID-19 Pneumonia, Opportunistic Candida krusei Infection, and Acute Respiratory Distress Syndrome with Pulmonary Arterial Hypertension Treated with Bosentan: A Case Report
Unusual clinical course, Management of emergency care
Killen H. Briones-Claudett
123ABCDEFG*, Killen H. Briones-Zamora 24ABCDEFG, Jaime Galo Benites Solis 34ACDEFG, Doménica I. Huilcapi Borja 4ABCDEFG, Karelys Nicole Arteaga Ocaña 4ABCDEFG, Maria Antonieta Touriz Bonifaz5BCDEFG, Pedro Barberan-Torres 1BCDEFG, Michelle Grunauer 6BCDEFG
DOI: 10.12659/AJCR.946400
Am J Case Rep 2025; 26:e946400
Figure 2. Bronchoscopic evaluation during active COVID-19 and fungal co-infection. Sequential bronchoscopic findings revealing: (A) inflammatory changes with hemorrhagic foci in bronchial mucosa; (B) Mucosal fold hypertrophy with characteristic fungal plaques; (C) active purulent secretions in segmental airways; (D) confirmed Candida krusei colonization presenting as whitish plaques; (E) Mucosal edema with epithelial disruption; and (F) enhanced vascular patterns reflecting inflammatory response.