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Indian Journal of Medical Microbiology
Medknow Publications on behalf of Indian Association of Medical Microbiology
ISSN: 0255-0857
EISSN: 0255-0857
Vol. 26, No. 2, 2008, pp. 180-182
Bioline Code: mb08051
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Medical Microbiology, Vol. 26, No. 2, 2008, pp. 180-182

 en Acute abdomen: An unusual presentation of disseminated Penicillium marneffei check for this species in other resources infection
George, IA; Sudarsanam, TD; Pulimood, AB & Mathews, MS

Abstract

Varied clinical presentations of Penicillium marneffei check for this species in other resources , 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

Keywords
Acute abdomen, HIV/AIDS, intestinal mycosis, Penicillium marneffei

 
© Copyright 2008 Indian Journal of Medical Microbiology.
Alternative site location: http://www.ijmm.org

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