E-ISSN 2146-9369 | ISSN 2146-3158
 
2024, Vol: 14, Issue: 3
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Case Report 


Surviving Mardi Gras in an Intensive Care Unit

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale.


Abstract
Penicilliosis is a life threatening fungal infection caused by Penicillium marneffei (PM). It has a high mortality rate if not picked up in time and treated appropriately. Making an early diagnosis is a key in improving outcomes. It is endemic in Southeast Asia and causes disseminated disease in the immunocompromised host especially in the human immunodeficiency virus (HIV) infected population.
We describe a HIV patient who presented with an altered sensorium. After admission he developed gastrointestinal bleeding, respiratory failure and septic shock. Blood cultures revealed yeast with high suspicion for PM. Intravenous amphotericin B was promptly initiated resulting in marked improvement of overall condition.
The learning objective of this report is to illustrate the increasing variability of clinical manifestations and absence of ”typical” skin lesions making an early diagnosis difficult. In endemic regions the immunocompetent are equally susceptible. A high index of suspicion, early recognition and treatment is required to improve patient outcomes. J Microbiol Infect Dis 2017; 7(1): 46-50

Key words: Penicillium marneffei, penicilliosis, disseminated fungal infection, HIV, gastrointestinal bleeding


 
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How to Cite this Article
Pubmed Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. Surviving Mardi Gras in an Intensive Care Unit. J Microbiol Infect Dis. 2017; 7(1): 46-50 . doi:10.5799/jmid.vi.328845

Web Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. Surviving Mardi Gras in an Intensive Care Unit. https://www.jmidonline.org/?mno=302657284 [Access: November 24, 2024]. doi:10.5799/jmid.vi.328845

AMA (American Medical Association) Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. Surviving Mardi Gras in an Intensive Care Unit. J Microbiol Infect Dis. 2017; 7(1): 46-50 . doi:10.5799/jmid.vi.328845


Vancouver/ICMJE Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. Surviving Mardi Gras in an Intensive Care Unit. J Microbiol Infect Dis. (2017), [cited November 24, 2024]; 7(1): 46-50 . doi:10.5799/jmid.vi.328845


Harvard Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale (2017) Surviving Mardi Gras in an Intensive Care Unit. J Microbiol Infect Dis, 7 (1), 46-50 . doi:10.5799/jmid.vi.328845


Turabian Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. 2017. Surviving Mardi Gras in an Intensive Care Unit. Journal of Microbiology and Infectious Diseases, 7 (1), 46-50 . doi:10.5799/jmid.vi.328845


Chicago Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. "Surviving Mardi Gras in an Intensive Care Unit." Journal of Microbiology and Infectious Diseases 7 (2017), 46-50 . doi:10.5799/jmid.vi.328845


MLA (The Modern Language Association) Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale. "Surviving Mardi Gras in an Intensive Care Unit." Journal of Microbiology and Infectious Diseases 7.1 (2017), 46-50 . Print. doi:10.5799/jmid.vi.328845


APA (American Psychological Association) Style

Humaira Shafi, Allan Pablo Acosta, Roshni Gokhale (2017) Surviving Mardi Gras in an Intensive Care Unit. Journal of Microbiology and Infectious Diseases, 7 (1), 46-50 . doi:10.5799/jmid.vi.328845


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Journal of Microbiology and Infectious Diseases (JMID) is an international "peer review" journal in microbiology, infectious diseases, virology, ... Read more.



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Journal of Microbiology and Infectious Diseases

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