Disseminated penicillium marneffei infection with fungemia and endobronchial disease in an AIDS patients in China
Medical Principles and Practice. 2006; 15 (3): 235-237
Dans Anglais
| IMEMR
| ID: emr-79546
ABSTRACT
To present a rare Chinese case ofdisseminated Penicilliummarneffei infection with fungemia and endobronchial disease in an AIDS patient. A 26-year-old policeman who had resided in Guangxi Province, China, for 3 years presented to his county hospital with a 2-month history of high fever and cough. A provisional diagnosis of pulmonary tuberculosis [TB] was made. Accordingly, the patient was treated with anti-TB drugs for 1 month but with no clinical improvement; he was then referred toWest China Hospital. Blood and bone marrow cultures as well as a bronchoscopic biopsy were positive for P. marneffei. A confirmatory serologic test for HIV was positive. A combination therapy with amphotericin B and itraconazole was instituted, and the patient responded well to treatment. This case showsendobronchial involvement caused by an emerging fungal microorganism. HIV-positive patients with a history of residence in or travel to southern China and a clinical presentation suggestive of TB but responding poorly to anti-TB treatment may have P. marneffei infection
Recherche sur Google
Indice:
Méditerranée orientale
Sujet Principal:
Maladies des bronches
/
Syndrome d'immunodéficience acquise
/
Fongémie
/
Mycoses
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Med. Princ. Pract.
Année:
2006
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