Harika Padamata, Asthana Bhushan, Vashisht Rohit, Yadav Naveen, Hazra Nandita, Manrai Manish, Menon Anil S
Resident, Department of Internal Medicine, Armed Forces Medical College, Pune, India.
Consultant (Pathology), Command Hospital (Southern Command), Pune, India.
Med J Armed Forces India. 2024 Dec;80(Suppl 1):S247-S251. doi: 10.1016/j.mjafi.2022.12.008. Epub 2023 Jan 30.
34 years old male from north-east India, a known case of retroviral disease, presented with shortness of breath and significant weight loss and was found to have pancytopenia, skin lesions, organomegaly, generalized lymphadenopathy, cavitary lung disease with very low CD4 counts. He failed to improve on empirical antitubercular therapy and further evaluation revealed features of disseminated talaromycosis on bone marrow studies. We hereby present an interesting case of a systemic fungal disease in the setting of advanced HIV infection.
一名来自印度东北部的34岁男性，已知患有逆转录病毒疾病，出现呼吸急促和明显体重减轻，被发现全血细胞减少、皮肤病变、器官肿大、全身淋巴结病、有空洞的肺部疾病且CD4计数极低。他接受经验性抗结核治疗后病情未改善，进一步评估发现骨髓检查有播散性鼻孢子菌病的特征。我们在此报告一例晚期HIV感染背景下的系统性真菌病的有趣病例。
