title: Penicillium marneffei infection in a Swedish HIV-infected immunodeficient narcotic addict.
abstract: We report a case of Penicillium marneffei infection, acquired in Thailand, in a Swedish HIV-infected immunodeficient heroin addict. This is the first case of penicilliosis marneffei diagnosed in Sweden. The patient had fever without focal symptoms. Cultures from bronchoalveolar lavage fluid and a mediastinal lymph node yielded the dimorphic fungus Penicillium marneffei. Treatment with amphotericin B followed by itraconazole was successful. Penicillium marneffei infection should be considered in HIV patients with fever who have visited Southeast Asia, especially northern Thailand and southern China.
authors.affiliation: Department of Infectious Diseases, Huddinge Hospital, Sweden.
authors.forename: I
authors.initials: I
authors.lastname: Julander
authors.forename: B
authors.initials: B
authors.lastname: Petrini
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D006556:Heroin Dependence / Q000150:complications*; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D009181:Mycoses / Q000188:drug therapy / Q000382:microbiology*; D010407:Penicillium / Q000302:isolation & purification*; D013548:Sweden; D013785:Thailand
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B