Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient

Abstract Penicillium marneffei (Talaromyces marneffei) infection sometimes occurs in HIV‐infected patients in South‐East Asia. However, reports on asymptomatic cases are rare. Herein, we report a case of a 27‐year‐old Burmese HIV‐positive woman with pulmonary penicilliosis. Chest radiography showed...

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Main Authors:	Masashi Nishikubo, Asako Doi, Hiroshi Takegawa, Daisuke Yamashita, Junichiro Ohira, Hiroaki Nishioka
Format:	Article
Language:	English
Published:	Wiley 2020-07-01
Series:	Journal of General and Family Medicine
Subjects:	asymptomatic respiratory infection HIV lung mass Penicillium marneffei
Online Access:	https://doi.org/10.1002/jgf2.325

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spelling	doaj-4fdcc5dca04342dca3cbd225b2623fe62020-11-25T03:49:31ZengWileyJournal of General and Family Medicine2189-79482020-07-0121415215410.1002/jgf2.325Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patientMasashi Nishikubo0Asako Doi1Hiroshi Takegawa2Daisuke Yamashita3Junichiro Ohira4Hiroaki Nishioka5Department of General Internal Medicine Kobe City Medical Center General Hospital Kobe JapanDepartment of General Internal Medicine Kobe City Medical Center General Hospital Kobe JapanDepartment of Laboratory Medicine Kobe City Medical Center General Hospital Kobe JapanDepartment of Pathology Kobe City Medical Center General Hospital Kobe JapanDepartment of Neurology Kobe City Medical Center General Hospital Kobe JapanDepartment of General Internal Medicine Kobe City Medical Center General Hospital Kobe JapanAbstract Penicillium marneffei (Talaromyces marneffei) infection sometimes occurs in HIV‐infected patients in South‐East Asia. However, reports on asymptomatic cases are rare. Herein, we report a case of a 27‐year‐old Burmese HIV‐positive woman with pulmonary penicilliosis. Chest radiography showed a lung mass; however, the patient did not have any respiratory symptoms. Cultures of bronchoalveolar lavage and lung tissue grew P marneffei. The patient was diagnosed with penicilliosis and successfully treated with amphotericin B and itraconazole. Our findings suggest that P marneffei infection should be considered in the differential diagnosis of a lung mass in HIV‐infected patients, even when asymptomatic for respiratory symptoms.https://doi.org/10.1002/jgf2.325asymptomatic respiratory infectionHIVlung massPenicillium marneffei
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Masashi Nishikubo Asako Doi Hiroshi Takegawa Daisuke Yamashita Junichiro Ohira Hiroaki Nishioka
spellingShingle	Masashi Nishikubo Asako Doi Hiroshi Takegawa Daisuke Yamashita Junichiro Ohira Hiroaki Nishioka Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient Journal of General and Family Medicine asymptomatic respiratory infection HIV lung mass Penicillium marneffei
author_facet	Masashi Nishikubo Asako Doi Hiroshi Takegawa Daisuke Yamashita Junichiro Ohira Hiroaki Nishioka
author_sort	Masashi Nishikubo
title	Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient
title_short	Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient
title_full	Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient
title_fullStr	Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient
title_full_unstemmed	Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient
title_sort	asymptomatic pulmonary penicilliosis with a lung mass in an hiv‐infected patient
publisher	Wiley
series	Journal of General and Family Medicine
issn	2189-7948
publishDate	2020-07-01
description	Abstract Penicillium marneffei (Talaromyces marneffei) infection sometimes occurs in HIV‐infected patients in South‐East Asia. However, reports on asymptomatic cases are rare. Herein, we report a case of a 27‐year‐old Burmese HIV‐positive woman with pulmonary penicilliosis. Chest radiography showed a lung mass; however, the patient did not have any respiratory symptoms. Cultures of bronchoalveolar lavage and lung tissue grew P marneffei. The patient was diagnosed with penicilliosis and successfully treated with amphotericin B and itraconazole. Our findings suggest that P marneffei infection should be considered in the differential diagnosis of a lung mass in HIV‐infected patients, even when asymptomatic for respiratory symptoms.
topic	asymptomatic respiratory infection HIV lung mass Penicillium marneffei
url	https://doi.org/10.1002/jgf2.325
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Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient

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