Talaromyces (Penicillium) marneffei infection
Author(s) -
Qian Du,
Chak Kwan Tong
Publication year - 2018
Publication title -
idcases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.319
H-Index - 13
ISSN - 2214-2509
DOI - 10.1016/j.idcr.2018.e00428
Subject(s) - penicillium marneffei , medicine , itraconazole , amphotericin b , sputum , sore throat , human immunodeficiency virus (hiv) , dermatology , microbiology and biotechnology , virology , immunology , pathology , antifungal , tuberculosis , coinfection , biology
A 41-year-old man from the emergency department presented with fever for 2 weeks, sore throat, dry cough and generalized umbilicated skin lesions (face (Fig. 1), and chest (Fig. 2)). HIV antibody was positive, CD4+ count was 2/μL. His skin swab, sputum and blood culture all yielded Talaromyces (Penicillium) marneffei (Fig. 3). Talaromyces marneffei is an important cause of morbidity and mortality in HIV-infected and other immunosuppressed patients who live in or are from endemic areas especially Southeast Asia. Amphotericin B or Itraconazole should be initiated as soon as possible for patients with talaromycosis.
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