Asymptomatic pulmonary penicilliosis with a lung mass in an HIV‐infected patient. (13th May 2020)

• Record Type: Journal Article
• Authors: Nishikubo, Masashi; Doi, Asako; Takegawa, Hiroshi; Yamashita, Daisuke; Ohira, Junichiro; Nishioka, Hiroaki
• Is Part Of: Journal of general and family medicine. Volume 21:Number 4(2020)
• Page Start: 152
• Page End: 154
• Publication Date: 2020-05-13
• Subjects: asymptomatic respiratory infection -- HIV -- lung mass -- Penicillium marneffei; Primary care (Medicine) -- Periodicals; Family medicine -- Periodicals; Family Practice; Primary Health Care; Japan; Periodicals; 610
• DOI: 10.1002/jgf2.325
• Languages: English
• ISSNs: 2189-7948

Abstract

Abstract: Penicillium marneffei ( Talaromyces marneffei ) infection sometimes occurs in HIV‐infected patients in South‐East Asia. However, reports on asymptomatic cases are rare. Herein, we report a case of a 27‐year‐old Burmese HIV‐positive woman with pulmonary penicilliosis. Chest radiography showed a lung mass; however, the patient did not have any respiratory symptoms. Cultures of bronchoalveolar lavage and lung tissue grew P marneffei . The patient was diagnosed with penicilliosis and successfully treated with amphotericin B and itraconazole. Our findings suggest that P marneffei infection should be considered in the differential diagnosis of a lung mass in HIV‐infected patients, even when asymptomatic for respiratory symptoms. Abstract : We report the case of pulmonary penicilliosis, which showed a lung mass on chest radiography but without respiratory symptoms. Reports on asymptomatic cases are rare.