Penicillosis with lymphadenopathy mimicing tuberculosis
نویسندگان
چکیده
Methods We describe two similar cases of disseminated penicillosis presenting with fever and weight loss with multiple mesenteric lymphadenopathy and skin lesion, clinically mimicking extrapulmonary tuberculosis. Penicilliosis was diagnosed by usg guided FNAC of mesenteric LN. P. marneffei was confirmed by microscopy and cultured, onto sabouraud dextrose agar. The cases were treated with oral itraconazole along followed by HAART two weeks later. However the lymph nodes enlarged (IRIS), so we withheld HAART for 2 weeks continuing itraconazole. After one and half months of treatment the skin lesions healed and mesenteric Lymph-Nodes disappeared completely with significant weight gain.
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