Hong Kong Med J 1998;4:59-62 | Number 1, March 1998
Penicillium marneffei infection and solitary pulmonary nodule
KC Chang, CK Chan, KC Chow, CW Lam
Department of Respiratory Medicine, Ruttonjee Hospital, 266 Queen's Road East, Hong Kong
We report on a patient infected with human immunodeficiency virus who presented with fever, a solitary pulmonary nodule, and cervical lymphadenopathy. The diagnosis of Penicillium marneffei infection was made from an excisional lymph node biopsy and a sputum culture. The microbiology, pathology, diagnosis, and treatment of the case are discussed. A high level of clinical suspicion is necessary for making an early diagnosis and improving the outcome of infection.
Key words: AIDS-related opportunistic infections; Antifungal agents; Coin lesion, pulmonary; HIV infections/complications; Penicillium
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