1. A Diagnosed, Cured Case of an HIV-infected Japanese Subject Developing Disseminated Penicilliosis After Thailand Travel
- Author
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Daisuke Kasai, Takuma Shirasaka, Tomohiro Taniguchi, Dai Watanabe, Hiroki Bando, Tomoko Uehira, Hajime Sako, Keishiro Yajima, Yoshihiko Ogawa, Yasuharu Nishida, and Shinjiro Tominari
- Subjects
Adult ,Male ,Pediatrics ,medicine.medical_specialty ,Lymph node biopsy ,HIV Infections ,Disease ,Southeast asian ,Penicilliosis ,Asian People ,Amphotericin B ,Hiv infected ,medicine ,Humans ,Blood culture ,Travel ,AIDS-Related Opportunistic Infections ,medicine.diagnostic_test ,biology ,business.industry ,Penicillium ,General Medicine ,Thailand ,biology.organism_classification ,medicine.disease ,Mycoses ,Lymph ,Penicillium marneffei ,business - Abstract
Disseminated penicilliosis-an AIDS-indicator disease in Southeast Asian countries -but not Japan- is a systemic fungal infection caused by Penicillium marneffei. A 30-year-old HIV-positive Japanese man visiting Southeast Asia three months before admission and reporting fever, general fatigue, and enlarged lymph nodes lasting over one month was admitted for detailed tests. Blood culture and fine-needle aspiration lymph node biopsy a led to a diagnosis of disseminated penicillioisis, later cured by several anti-fungal agents. Caution is thus recommended regarding the possibility of this disease, given the large number of travelers visiting overseas, geographical proximity to Southeast Asia, and increasing numbers of HIV patients in Japan.
- Published
- 2010