Talaromyces marneffei Fungemia in a Patient with AIDS: The First Reported Observation in the Middle East

被引:0
|
作者
Hussain, Kosar [1 ]
Al Dabal, Laila [2 ]
Hussain, Sara [3 ]
Al Deesi, Zulfa O. [4 ,5 ,6 ]
Ahmed, Raees [7 ]
机构
[1] Goulburn Valley Hlth, Gen Med, Shepparton, Vic, Australia
[2] Dubai Hlth Author, Rashid Hosp, Infect Dis & Microbiol Units, Dubai, U Arab Emirates
[3] Dubai Hlth Author, Rashid Hosp, Emergency Dept, Dubai, U Arab Emirates
[4] Dubai Hlth Author, Latifa Hosp Women & Children, Dubai, U Arab Emirates
[5] Dubai Hlth Author, Latifa Hosp Women & Children, Microbiol & Infect Control Unit, Dubai, U Arab Emirates
[6] Dubai Hlth Author, Latifa Hosp Women & Children, Pathol Sect, Dubai, U Arab Emirates
[7] Diagnost Grp, Beaumont, TX USA
来源
DUBAI MEDICAL JOURNAL | 2023年 / 6卷 / 03期
关键词
Talaromyces marneffei; HIV; Fungemia; Methicillin-resistant Staphylococcus aureus; Infectious; Internal medicine; HUMAN-IMMUNODEFICIENCY-VIRUS; PENICILLIUM-MARNEFFEI; FUNGAL-INFECTIONS;
D O I
10.1159/000529553
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a patient who presented with septic shock and multiorgan failure. Methicillin-resistant Staphylococcus aureus and Talaromyces marneffei were cultured from his blood. He was treated with a course of vancomycin along with amphotericin. Further work-up revealed him to be HIV positive with an absolute CD4 count of 14 cells/mu L. Despite aggressive medical support, he eventually succumbed to his illness with Klebsiella pneumonia sepsis. To the best of our knowledge, this is the first reported T. marneffei infection in the Middle East and the first observation of concomitant community-acquired methicillin-resistant S. aureus bacteraemia and talaromycosis from the Middle East region.
引用
收藏
页码:211 / 215
页数:5
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