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Penicillium morneffei, an emerging AIDS-related pathogen--a RIMS study.

S Bhagyabati Devi1, Th Shanti Devi, Robinson Ningshen

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Penicilliosis, a disseminated Penicillium marneffei infection, is an opportunistic pathogen in HIV-infected individuals. Early diagnosis and treatment with amphotericin B and itraconazole improve survival rates.

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Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • HIV/AIDS Research

Background:

  • Penicillium marneffei is an emerging opportunistic pathogen in immunocompromised individuals.
  • Disseminated penicilliosis is a significant concern in Human Immunodeficiency Virus (HIV)-infected populations.

Purpose of the Study:

  • To investigate the clinical, laboratory, and therapeutic characteristics of HIV-infected patients with disseminated Penicillium marneffei infection.
  • To highlight the importance of considering penicilliosis in the differential diagnosis of febrile illnesses in HIV patients.

Main Methods:

  • Retrospective study of 27 HIV-infected patients diagnosed with penicilliosis.
  • Diagnosis confirmed by microscopy and fungal culture.
  • CD4+ T-cell counts assessed using flow cytometry.

Main Results:

  • The majority of patients were male (23/27), with ages ranging from 20 to 54 years (mean 31.5).
  • Common clinical manifestations included fever, weight loss, anemia, and characteristic skin lesions.
  • All patients presented with low CD4+ T-cell counts, indicating significant immunosuppression.
  • Intravenous amphotericin B followed by oral itraconazole demonstrated excellent treatment response.

Conclusions:

  • Penicillium marneffei is a critical opportunistic pathogen in HIV-infected individuals in Manipur.
  • Penicilliosis should be suspected in patients with unexplained fever, low CD4 counts, and molluscum contagiosum-like skin lesions.
  • Prompt diagnosis and appropriate antifungal therapy are crucial for improving patient survival.