https://scholars.lib.ntu.edu.tw/handle/123456789/512210
Title: | Disseminated Penicillium marneffei mimicking paradoxical response and relapse in a non-HIV patient with pulmonary tuberculosis | Authors: | Wang P.-H. HAO-CHIEN WANG Liao C.-H. |
Issue Date: | 2015 | Publisher: | Elsevier Ltd | Journal Volume: | 78 | Journal Issue: | 4 | Start page/Pages: | 258-260 | Source: | Journal of the Chinese Medical Association | Abstract: | Clinical deterioration during the treatment of tuberculosis remains a diagnostic challenge. We describe the case of a 46-year-old man with a history of oral cancer status after a radical operation who had pulmonary tuberculosis with pleura and neck lymph node involvement. The clinical condition improved after antituberculosis therapy. However, the patient suffered from low-grade fever, progressive dyspnea, and cough after 7weeks of the therapy. The findings of chest plain films were relapse and progression of left lung haziness. The deterioration was caused by disseminated Penicillium marneffei infection. Disseminated P. marneffei in a non-HIV patient with tuberculosis is rarely seen, and the manifestations are similar to a paradoxical response and relapse of pulmonary tuberculosis, thereby making it difficult to establish a diagnosis. ? 2015. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928214575&doi=10.1016%2fj.jcma.2013.11.009&partnerID=40&md5=42b451cfa672b11affc646e448f5df98 https://scholars.lib.ntu.edu.tw/handle/123456789/512210 |
ISSN: | 1726-4901 | DOI: | 10.1016/j.jcma.2013.11.009 | SDG/Keyword: | amphotericin B; amphotericin B lipid complex; ethambutol; isoniazid; itraconazole; pyrazinamide; rifampicin; adult; Article; case report; cervical lymph node; coughing; differential diagnosis; directly observed therapy; drug withdrawal; dyspnea; fever; human; human tissue; lung tuberculosis; male; middle aged; optic neuritis; penicilliosis; relapse; skin biopsy; thorax radiography; treatment response; complication; Mycoses; Penicillium; recurrent disease; Tuberculosis, Pulmonary; Amphotericin B; Humans; Male; Middle Aged; Mycoses; Penicillium; Recurrence; Tuberculosis, Pulmonary |
Appears in Collections: | 醫學系 |
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