Abstract
A 71-year-old man with interstitial pneumonia was hospitalized due to a pulmonary infection. He had been living in Thailand and had returned to Japan three months earlier. Antibiotic therapy initially cleared the infection; however, the patient's condition relapsed. Pseudomonas aeruginosa and Penicillium sp. were both detected in sputum and bronchial lavage fluid cultures and Penicillium sp. was identified to be P. marneffei. The infiltration observed on chest radiographs improved following treatment with itraconazole and tazobactam/piperacillin, and no relapse occurred. We herein report the first case of a non-HIV patient with P. marneffei infection in Japan.
MeSH terms
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Aged
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Antifungal Agents / therapeutic use
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Humans
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Itraconazole / therapeutic use
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Japan
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Lung Diseases, Fungal / complications*
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Lung Diseases, Fungal / drug therapy
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Lung Diseases, Fungal / microbiology*
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Lung Diseases, Interstitial / complications*
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Lung Diseases, Interstitial / drug therapy
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Lung Diseases, Interstitial / microbiology*
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Male
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Penicillanic Acid / analogs & derivatives
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Penicillanic Acid / therapeutic use
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Penicillium / isolation & purification
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Penicillium / pathogenicity*
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Piperacillin / therapeutic use
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Piperacillin, Tazobactam Drug Combination
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Thailand / ethnology
Substances
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Antifungal Agents
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Piperacillin, Tazobactam Drug Combination
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Itraconazole
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Penicillanic Acid
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Piperacillin