The 481st case: fever, rash, and cough
10.3760/cma.j.cn112138-20200103-00001
- VernacularTitle:第481例——发热、皮疹、咳嗽
- Author:
Fuping GUO
1
;
Congli ZHANG
;
Meng LU
;
Yiqi QIAN
;
Zhengyin LIU
;
Taisheng LI
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院感染内科 100730
- From:
Chinese Journal of Internal Medicine
2020;59(12):1009-1012
- CountryChina
- Language:Chinese
-
Abstract:
Talaromyces Marneffei infection is rarely reported in patients with chronic active Epstein-Barr virus (EBV) infection. We reported an old man with chronic fever, pleomorphic rash, cough, EBV viraemia, and secondary hemophagocytic syndrome. Repeated histological biopsy and culture of skin lesions revealed Talaromyces Marneffei. This patient was diagnosed as chronic active EBV infection, and Talaromyces Marneffei infection. After treated with glucocorticoid steroids and anti-fungal therapy, the patient finally recovered. EBV infection is usually seen in immune compromised patients, who are susceptible to opportunistic pathogens rarely as Talaromyces Marneffei in this case.
