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Penicillum marneffi Infection Presenting as Lump Abdomen


Affiliations
1 Department of Medicine, Regional institute of medical science, Imphal, Manipur, India
 

Penicillum marneffi is the third leading opportunistic pathogen in HIV endemic areas. We report a case, with a rare clinical presentation as lump abdomen with newly diagnosed HIV-1 antibody reactive status. A diagnosis was made by endoscopic biopsy of growth in second part of duodenum which on histopathology and culture detected Penicillum Marneffi. He was treated with intravenous amphotericin B for 2 weeks followed by oral itraconazole. This case is reported for its unusual presentation to sensitize clinicians to consider this as an etiology in patients in HIV endemic areas who present as lump abdomen.

Keywords

HIV, AIDS, Lump Abdomen, Penicillum marneffei, Opportunistic Pathogen.
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  • Penicillum marneffi Infection Presenting as Lump Abdomen

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Authors

Hemta Pradhan
Department of Medicine, Regional institute of medical science, Imphal, Manipur, India
S. Kenny Singh
Department of Medicine, Regional institute of medical science, Imphal, Manipur, India
Robinson Ningshen
Department of Medicine, Regional institute of medical science, Imphal, Manipur, India
Ksh Birendra Singh
Department of Medicine, Regional institute of medical science, Imphal, Manipur, India
T. Jeetenkumar Singh
Department of Medicine, Regional institute of medical science, Imphal, Manipur, India

Abstract


Penicillum marneffi is the third leading opportunistic pathogen in HIV endemic areas. We report a case, with a rare clinical presentation as lump abdomen with newly diagnosed HIV-1 antibody reactive status. A diagnosis was made by endoscopic biopsy of growth in second part of duodenum which on histopathology and culture detected Penicillum Marneffi. He was treated with intravenous amphotericin B for 2 weeks followed by oral itraconazole. This case is reported for its unusual presentation to sensitize clinicians to consider this as an etiology in patients in HIV endemic areas who present as lump abdomen.

Keywords


HIV, AIDS, Lump Abdomen, Penicillum marneffei, Opportunistic Pathogen.

References





DOI: https://doi.org/10.18311/ijmds%2F2015%2F79857