Abstract:
:Varied clinical presentations of Penicillium marneffei, an opportunistic pathogen in HIV disease has been rarely described in literature. We report a patient with advanced AIDS who presented to us with prolonged fever and had features of an acute abdomen. On radiologic imaging he had features of intestinal obstruction and mesenteric lymphadenitis. A diagnosis was made possible by endoscopic biopsies of the small bowel and bone marrow culture which grew P. Marneffei. He was treated with intravenous amphotericin for 2 weeks followed by oral itraconazole. This case is reported for its rarity and unusual presentation and to sensitise clinicians and microbiologists to consider this as an aetiology in patients with advanced HIV/AIDS who present with acute abdomen, more so in patients from a distinct geographic region--South-East Asia.
journal_name
Indian J Med Microbioljournal_title
Indian journal of medical microbiologyauthors
George IA,Sudarsanam TD,Pulimood AB,Mathews MSdoi
10.4103/0255-0857.40538subject
Has Abstractpub_date
2008-04-01 00:00:00pages
180-2issue
2eissn
0255-0857issn
1998-3646journal_volume
26pub_type
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doi:
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journal_title:Indian journal of medical microbiology
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