Medstar Washington Hospital Center,
Washington DC
Tanzania
Case Report
Fever, Rash and Fungemia in a Traveler from South China
Author(s): Osamuyimen Igbinosa, Krishna Dass and Glenn WortmannOsamuyimen Igbinosa, Krishna Dass and Glenn Wortmann
Introduction: Penicillium (Talaromyces) marneffei is a dimorphic fungus that is endemic in Southeast Asia and South China, but rarely seen the United States except in immunosuppressed patients who have had travel-related exposure. Case Presentation: A 28 year-old man with advanced HIV/AIDS presented with dyspnea, cough and fever two weeks after returning from Shenzhen, South China. He was treated for presumptive Pneumocystis jiroveci pneumonia with improvement in his symptoms and was then started on antiretroviral therapy. Three weeks later he developed rash and fever, and blood culture grew Penicillium (Talaromyces) marneffei. Conclusion: This case highlights the importance of obtaining a detailed travel history in order to incorporate travel-related diseases in a differential diagnosis.
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DOI:
10.4172/2165-7920.1000639
Journal of Clinical Case Reports received 1295 citations as per Google Scholar report