Paradoxical worsening of Emergomyces africanus infection in an HIV-infected male on itraconazole and antiretroviral therapy

1 Department of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa, 2 Department of Dermatology, University of Cape Town, Cape Town, Western Cape, South Africa, 3 Department of Anatomical Pathology, National Health Laboratory Service Groote Schuur Hospital Branch, Cape Town, Western Cape, South Africa, 4 Division of Infectious Diseases & HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa, 5 Clinical Infectious Diseases Research Initiative, Institute of Infectious Disease and Molecular Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, South Africa, 6 National Institute for Communicable Diseases-Centre for Healthcare-Associated Infections, Antimicrobial Resistance and Mycoses, National Health Laboratory Service, Sandringham, Gauteng, South Africa, 7 Sexually Transmitted Infectious Unit, Institute of Tropical Medicine, Antwerp, Belgium, 8 Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada, 9 Global Health Institute, University of Antwerp, Antwerp, Belgium