Surviving Mardi Gras in an Intensive Care Unit

Apply

Surviving Mardi Gras in an Intensive Care Unit

Journal Title: Journal of Microbiology and Infectious Diseases - Year 2017, Vol 7, Issue 1

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

Authors and Affiliations

Humaira Shafi, Allan Pablo Acosta, Roshni Sadashiv Gokhale

Keywords

Mycobacterium tuberculosis tanısında mikroskopi ve PCR metotlarının karşılaştırılması

Giriş: Tüberküloz dünyanın her yerinde hala önemli bir mortalite ve morbidite nedenidir. TB’nin erken tanınması daha iyi tedavi sonuçları ve MDR-TB’nin daha az bulaşmasını sağlar. Bu çalışmanın amacı flöresan boyama, Zie...

 Nijerya’da Kızamık Mortalite ve Morbiditesinin Eğilimi: Lagos Eyaletinde 10-Yıllık Hastaneye Dayalı Retrospektif Bir Çalışma

 Amaç: Bu hastaneye dayalı retrospektif kohort çalışma Nijerya’nın Lagos Eyaletinde kızamığın epidemiyolojik eğilimini göstermek amacıyla yapıldı. Yöntemler: Lagos Eyaletinde referans hastane konumundaki dokuz...

EP ID EP413360
DOI 10.5799/ jmid.vi.328845
Views 96
Downloads 0