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Penicillium marneffei infection in a lung transplant recipient
Authors:A Stathakis  KP Lim  P Boan  M Lavender  J Wrobel  M Musk  CH Heath
Institution:1. Department of Microbiology and Infectious Diseases, Royal Perth Hospital, Perth, Western Australia, Australia;2. WA Advanced Lung Disease and Lung Transplant Unit, Royal Perth Hospital, Perth, Western Australia, Australia;3. Department of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia
Abstract:Penicillium marneffei is a thermally dimorphic fungus that can cause severe opportunistic infections in endemic regions of Southeast Asia, particularly in individuals infected with human immunodeficiency virus‐1, but has rarely been reported in solid organ transplant recipients. Herein, we report the first case, to our knowledge, of P. marneffei infection in a lung transplant recipient, occurring in a 41‐year‐old woman 28 months post lung transplantation, after recent travel to Vietnam. We have reviewed the literature to derive some management principles for this rare infection in this clinical context. The number of P. marneffei infections in transplant recipients may increase, as a result of increasing rates of transplantation and travel to endemic areas.
Keywords:   Talaromyces marneffei        Penicillium marneffei     renal transplant  travel  liposomal amphotericin B  itraconazole  voriconazole
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