title: [A diagnosed, cured case of an HIV-infected Japanese subject developing disseminated penicilliosis after Thailand travel].
abstract: Disseminated penicilliosis-an AIDS-indicator disease in Southeast Asian countries -but not Japan- is a systemic fungal infection caused by Penicillium marneffei. A 30-year-old HIV-positive Japanese man visiting Southeast Asia three months before admission and reporting fever, general fatigue, and enlarged lymph nodes lasting over one month was admitted for detailed tests. Blood culture and fine-needle aspiration lymph node biopsy a led to a diagnosis of disseminated penicillioisis, later cured by several anti-fungal agents. Caution is thus recommended regarding the possibility of this disease, given the large number of travelers visiting overseas, geographical proximity to Southeast Asia, and increasing numbers of HIV patients in Japan.
authors.affiliation: Division of Infectious Disease, Osaka National Hospital.
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Ogawa
authors.forename: Dai
authors.initials: D
authors.lastname: Watanabe
authors.forename: Hajime
authors.initials: H
authors.lastname: Sako
authors.forename: Hiroki
authors.initials: H
authors.lastname: Bando
authors.forename: Keishiro
authors.initials: K
authors.lastname: Yajima
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Taniguchi
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Tominari
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kasai
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Nishida
authors.forename: Tomoko
authors.initials: T
authors.lastname: Uehira
authors.forename: Takuma
authors.initials: T
authors.lastname: Shirasaka
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D044466:Asian People; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009181:Mycoses / Q000175:diagnosis* / Q000188:drug therapy; D010407:Penicillium; D013785:Thailand; D014195:Travel
chemical_list: D000666:Amphotericin B