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A mass in the upper abdomen derived from Talaromyces marneffei infected lymphadenopathy: a case report
Xue Chen1, Lin Jia1, Yongfeng Wu1
1Department of Respiratory and Infectious Diseases, Beijing You An Hospital, Capital Medical University, Beijing Institute of Hepatology, Beijing, 100069, China.
Background:
An upper abdominal mass without tenderness often indicates a benign or malignant tumor once liver or spleen hyperplasia has been excluded. A lymphadenopathic mass from Talaromyces marneffei infection is rare.
Case Presentation:
We report the case of a 29-year-old human immunodeficiency virus (HIV) infected man who presented with an upper abdominal mass and without any symptoms related with infection. Histopathology and next-generation sequencing (NGS) following biopsy of the mass confirmed T. marneffei-infected lymphadenopathy, and the patient was successfully treated with amphotericin B and itraconazole.
Conclusions:
This case report suggests that potential fungal infection should be considered during the diagnostic workup of a mass in clinical practice.
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