Coexisting of Primary Central Nervous System Lymphoma and Talaromyces marneffei Brain Abscess in an AIDS Patient, A Case Report and Review of the Literature

© 2024 Liu et al..

Background: Talaromyces marneffei is prevalent in South Asia. Latent Talaromyces marneffei infection of travellers make the diagnosis difficult. There are similarities in clinical manifestations between Talaromyces marneffei infection and lymphoma. Brain abscess is a rare form of Talaromyces marneffei infection.

Case Presentation: We reported a very rare case of a 19-year-old man with HIV infection who suffered from a brain mass and lymphadenopathy. His blood culture, bone marrow culture and sputum culture all grew Talaromyces marneffei. One month after treatment with voriconazole, the symptoms improved except brain mass. Surgical incision of the brain mass showed a compact mass, and pathological analysis showed the coexisting Talaromyces marneffei abscess and lymphoma. The patient is currently in a stable condition after receiving antifungal therapy and chemotherapy.

Conclusion: Based on a case report of a traveller who suffered from a brain mass of Talaromyces marneffei abscess and lymphoma after a visit to an endemic area, this review summarized the cases where there was confusion between lymphoma and the brain abscess of Talaromyces marneffei. Talaromyces marneffei infection can be found globally due to the increasing number of international travels. Talaromyces marneffei infection and lymphoma had similar characteristics which is easy to misdiagnose in clinic. Infection may also be accompanied by tumors, especially in patients infected with HIV. The manifestations and imaging of brain abscess of Talaromyces marneffei were not characteristic in different patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Infection and drug resistance - 17(2024) vom: 19., Seite 709-718

Sprache:

Englisch

Beteiligte Personen:

Liu, Xinchao [VerfasserIn]
Xing, Hao [VerfasserIn]
Lin, Jing [VerfasserIn]
Sun, Jian [VerfasserIn]
Wang, Yu [VerfasserIn]
Liu, Yaxu [VerfasserIn]
Cao, Wei [VerfasserIn]
Liu, Zhengyin [VerfasserIn]
Li, Taisheng [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
HIV
Lymphoma
Misdiagnose
Talaromyces marneffei
Travel

Anmerkungen:

Date Revised 29.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.2147/IDR.S432697

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369007573