title: Atypical cutaneous lesions of Penicillium marneffei infection as a manifestation of the immune reconstitution inflammatory syndrome after highly active antiretroviral therapy.
abstract: Penicillium marneffei infections normally manifest as molluscum contagiosum like skin lesion in HIV-infected persons. We report a case with verrucous lesions over nose and face due to Penicillium marneffei infection after HAART treatment. A 28-year-old man presented, after two weeks of HAART treatment, with multiple erythematous, scaly, papules and nodules with central necrosis predominantly in face and both extremities and scrotum. Microbiological investigations confirmed the diagnosis of Penicillium marneffei infection. This is perhaps the first case report with such manifestation due to Penicillium marneffei infection.
authors.affiliation: Department of Microbiology, Assam Medical College, Dibrugarh-786 002, India.
authors.forename: Lahari
authors.initials: L
authors.lastname: Saikia
authors.forename: Reema
authors.initials: R
authors.lastname: Nath
authors.forename: Debeeka
authors.initials: D
authors.lastname: Hazarika
authors.forename: J
authors.initials: J
authors.lastname: Mahanta
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D003881:Dermatomycoses / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D054019:Immune Reconstitution Inflammatory Syndrome / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D009181:Mycoses / Q000175:diagnosis / Q000209:etiology; D010407:Penicillium / Q000302:isolation & purification*