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Penicillium marneffei

Dan Liu, Li-Li Zhong, Yun Li, Min Chen
A 2-year-old boy was admitted into the hospital because of cough and fever. Lymph node tuberculosis was noted when he was 2 months old and he was subsequently hospitalized several times because of cough and fever. After hospitalization the laboratory examination showed an increased eosinophia level in blood. The immune function tests shows decreased levels of IgG, IgA, and IgM. The patient had no response to anti-tuberculosis, anti-bacterial, and anti-fungal treatment, resulting in recurrent fever and progressive enlargement of the liver and spleen...
November 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Yung-Feng Yen, Marcelo Chen, Ian Jen, Yu-Ching Lan, Pei-Hung Chuang, Yen-Ling Liu, Yun Lee, Yi-Ming Arthur Chen
BACKGROUND: HIV-associated vasculopathy and opportunistic infections (OIs) might cause vascular atherosclerosis and aneurysmal arteriopathy, which could increase the risk of incident stroke. However, few longitudinal studies have investigated the link between HIV and incident stroke. This cohort study evaluated the association of HIV and OIs with incident stroke. METHODS: We identified adults with HIV infection in 2000-2012, using the Taiwan National Health Insurance Research Database...
October 24, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Wiyada Dankai, Monsicha Pongpom, Sirida Youngchim, Chester R Cooper, Nongnuch Vanittanakom
Talaromyces marneffei, formerly Penicillium marneffei, is a thermally dimorphic fungus. It causes a fatal disseminated disease in patients infected with the human immunodeficiency virus (HIV). Studies on the stress defense mechanism of T. marneffei can lead to a better understanding of the pathogenicity and the progression of the disease due to this fungus. The basic leucine-zipper (bZip) transcription factor gene in Saccharomyces cerevisiae, named yap1 (yeast activating protein-1), is known as a crucial central regulator of stress responses including those caused by oxidative agents, cadmium, and drugs...
2016: PloS One
Yukihiro Yoshimura, Yohei Sakamoto, Kwangyeol Lee, Yuichiro Amano, Natsuo Tachikawa
We herein report a case of Penicillium marneffei infection (PMI) in a Japanese man who was infected with human immunodeficiency virus-1 (HIV-1), who was diagnosed on the basis of a bone marrow culture and who was effectively treated with itraconazole. Our review of the PMI cases reported in Japan suggests that increased serum (1→3)-β-D-glucan levels are a useful diagnostic tool in cases of suspected PMI.
2016: Internal Medicine
Patrick C Y Woo, Susanna K P Lau, Candy C Y Lau, Edward T K Tung, Ken T K Chong, Fengjuan Yang, Hongmin Zhang, Raymond K C Lo, Jian-Pao Cai, Rex K H Au-Yeung, Wing-Fung Ng, Herman Tse, Samson S Y Wong, Simin Xu, Wai Hei Lam, Man-Kit Tse, Kong Hung Sze, Richard Y Kao, Neil E Reiner, Quan Hao, Kwok-Yung Yuen
BACKGROUND: Talaromyces marneffei is an opportunistic dimorphic fungus prevalent in Southeast Asia. We previously demonstrated that Mp1p is an immunogenic surface and secretory mannoprotein of T. marneffei. Since Mp1p is a surface protein that can generate protective immunity, we hypothesized that Mp1p and/or its homologs are virulence factors. METHODOLOGY/PRINCIPAL FINDINGS: We examined the pathogenic roles of Mp1p and its homologs in a mouse model. All mice died 21 and 30 days after challenge with wild-type T...
August 2016: PLoS Neglected Tropical Diseases
Orapin Anutarapongpan, Onsiri Thanathanee, Olan Suwan-Apichon
A 36-year-old HIV-positive man presented with symptoms of redness, blurred vision and foreign body sensation in his right eye for 3 months. The slit lamp examination revealed deep stromal infiltration with a feathery margin in an otherwise minimal anterior chamber reaction. A corneal scraping was negative. Confocal microscopy demonstrated an abnormal large hyper-reflective oval shape in the corneal stroma. Corneal infiltration did not show improvement after topical, intrastromal and intracameral antifungal treatment...
2016: BMJ Case Reports
T Qi, R Zhang, Y Shen, L Liu, D Lowrie, W Song, J Chen, Z Wang, J Shen, R Cai, L Guan, B Luo, Y Tang, H Lu
Bloodstream infections (BSIs) are prevalent among people living with HIV/AIDS. The etiology varies in different regions and different periods. We aimed to survey the etiological and clinical features of BSIs in HIV patients in mainland China. We assessed all HIV patients with a positive blood culture in a Chinese teaching hospital from September 2009 through December 2014. We excluded those with specimens likely to have been contaminated. We used Pearson's chi-squared test to measure the differences in characteristics among subgroups of different pathogens...
November 2016: European Journal of Clinical Microbiology & Infectious Diseases
Ha Thuc Ai Hien, Tran Tan Thanh, Nguyen Thi Mai Thu, Ashley Nguyen, Nguyen Tat Thanh, Nguyen Phu Huong Lan, Cameron Simmons, Cecilia Shikuma, Nguyen Van Vinh Chau, Guy Thwaites, Thuy Le
Penicilliosis caused by Talaromyces marneffei is a common AIDS-defining illness in South and Southeast Asia. Diagnosis is based on culture which can take up to 14 days for identification, leading to treatment delay and increased mortality. We developed a TaqMan real-time PCR assay targeting the MP1 gene encoding an abundant cell wall protein specific to T. marneffei. The assay's performance was evaluated in MP1-containing plasmids, clinical isolates, and plasma from HIV-infected patients with and without penicilliosis...
July 25, 2016: Mycoses
Nattapol Pruetpongpun, Thana Khawcharoenporn, Pansachee Damronglerd, Worapop Suthiwartnarueput, Anucha Apisarnthanarak, Sasinuch Rujanavej, Nuntra Suwantarat
Anti-interferon (IFN)-γ autoantibodies are increasingly recognized as a cause of adult-onset immunodeficiency and increased risk for infections with intracellular pathogens. We report on disseminated Talaromyces (Penicillium) marneffei and Mycobacterium abscessus infection in a 72-year-old, human immunodeficiency virus noninfected, Thai man with anti-IFN-γ autoantibody. The patient was successfully treated with antimicrobial therapy and rituximab to control B cell-derived autoantibodies.
April 2016: Open Forum Infectious Diseases
Altay Atalay, Ayse Nedret Koc, Gulsah Akyol, Nuri Cakir, Leylagul Kaynar, Aysegul Ulu-Kilic
A 66-year-old female patient with multiple myeloma (MM) was admitted to the emergency service on 29.09.2014 with an inability to walk, and urinary and faecal incontinence. She had previously undergone autologous bone marrow transplantation (ABMT) twice. The patient was hospitalized at the Department of Haematology. Further investigations showed findings suggestive of a spinal mass at the T5-T6-T7 level, and a mass lesion in the iliac fossa. The mass lesion was resected and needle biopsy was performed during a colonoscopy...
June 1, 2016: Le Infezioni in Medicina
Ye Qiu, Mingqi Pan, Jianquan Zhang, Xiaoning Zhong, Yu Li, Hui Zhang, Bixun Li
Talaromyces marneffei (formerly known as Penicillium marneffei) is a dimorphic fungus endemic in south and southeast Asia. It is not only commonly found in human immunodeficiency virus (HIV)-infected patients, but also among HIV-negative immunocompromised patients. The infection caused by this pathogen can disseminate hematogenously to other locations. Herein, we report for the first time two cases complicated with a rare disease or involving a rare site: in the first case, T. marneffei infection was complicated by Langerhans cell histiocytosis, whereas the second case showed clear etiological evidence of pleural nodules and pleural effusion caused by T...
August 3, 2016: American Journal of Tropical Medicine and Hygiene
Ariya Sapmak, Jutikul Kaewmalakul, Joshua D Nosanchuk, Nongnuch Vanittanakom, Alex Andrianopoulos, Kritsada Pruksaphon, Sirida Youngchim
Talaromyces (Penicillium) marneffei is an emerging opportunistic pathogen associated with HIV infection, particularly in Southeast Asia and southern China. The rapid uptake and killing of T. marneffei conidia by phagocytic cells along with the effective induction of an inflammatory response by the host is essential for disease control. T. marneffei produces a number of different laccases linked to fungal virulence. To understand the role of the various laccases in T. marneffei, laccase-encoding genes were investigated...
August 17, 2016: Virulence
Hong-Ru Li, Shao-Xi Cai, Yu-Sheng Chen, Mei-E Yu, Neng-Luan Xu, Bao-Song Xie, Ming Lin, Xin-Lan Hu
BACKGROUND: Talaromyces (Penicillium) marneffei (TM) is an emerging dimorphic human pathogenic fungus that is endemic to Southeast Asia. TM mostly occurs as an opportunistic infection in patients with human immunodeficiency virus (HIV). The objective of this study was to compare the clinical and laboratory parameters of patients with TM infections who were HIV-positive and HIV-negative and to assess therapies and outcomes. METHODS: This was a retrospective analysis of 26 patients diagnosed with disseminated TM infection from September 2005 to April 2014 at Fujian Provincial Hospital, China...
May 5, 2016: Chinese Medical Journal
Keigo Ueno, Makoto Urai, Kayo Ohkouchi, Yoshitsugu Miyazaki, Yuki Kinjo
Several pathogenic fungi, including Cryptococcus gattii, Histoplasma capsulatum, Coccidioides immitis, and Penicillium marneffei, cause serious infectious diseases in immunocompetent humans. However, currently, prophylactic and therapeutic vaccines are not clinically used. In particular, C. gattii is an emerging pathogen and thus far protective immunity against this pathogen has not been well characterized. Experimental vaccines such as component and attenuated live vaccines have been used as tools to study protective immunity against fungal infection...
2016: Methods in Molecular Biology
Susanna K P Lau, Clare S K Lam, Antonio H Y Ngan, Wang-Ngai Chow, Alan K L Wu, Dominic N C Tsang, Cindy W S Tse, Tak-Lun Que, Bone S F Tang, Patrick C Y Woo
BACKGROUND: Penicillium marneffei is the most important thermal dimorphic fungus causing systemic mycosis in HIV-infected and other immunocompromised patients in Southeast Asia. However, laboratory diagnosis of penicilliosis, which relies on microscopic morphology and mycelial-to-yeast conversion, is time-consuming and expertise-dependent, thus delaying diagnosis and treatment. Although matrix -assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) is useful for identification of various medically important fungi, its performance for identification of P...
2016: BMC Microbiology
Jasper F W Chan, Susanna K P Lau, Kwok-Yung Yuen, Patrick C Y Woo
Talaromyces (Penicillium) marneffei is an important pathogenic thermally dimorphic fungus causing systemic mycosis in Southeast Asia. The clinical significance of T. marneffei became evident when the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome epidemic arrived in Southeast Asia in 1988. Subsequently, a decline in the incidence of T. marneffei infection among HIV-infected patients was seen in regions with access to highly active antiretroviral therapy and other control measures for HIV...
March 9, 2016: Emerging Microbes & Infections
Yinghui Liu, Xiaowen Huang, Xiuwen Yi, Ya He, Eleftherios Mylonakis, Liyan Xi
Penicilliosis marneffei, often consecutive to the aspiration of Talaromyces marneffei (Penicillium marneffei), continues to be one of the significant causes of morbidity and mortality in immunocompromised patients in endemic regions such as Southeast Asia. Improving the accuracy of diagnosing this disease would aid in reducing the mortality of associated infections. In this study, we developed a stable and reproducible murine pulmonary model that mimics human penicilliosis marneffei using a nebulizer to deliver Talaromyces marneffei (SUMS0152) conidia to the lungs of BALB/c nude mice housed in exposure chamber...
2016: PloS One
K Prakit, J D Nosanchuk, K Pruksaphon, N Vanittanakom, S Youngchim
The thermally dimorphic fungus Penicillium marneffei is a causative agent of penicilliosis marneffei, a disease considered to be an acquired immune deficiency syndrome (AIDS)-defining illness in Southeast Asia and southern China. We have developed an inhibition enzyme-linked immunosorbent assay (inh-ELISA) incorporating the yeast phase specific mannoprotein-binding monoclonal antibody 4D1 for the detection of P. marneffei infection. In our sample set, the test detected antigenemia in all 45 (100 %) patients with P...
April 2016: European Journal of Clinical Microbiology & Infectious Diseases
Renqiong Chen, Guangquan Ji, Ling Wang, Hong Ren, Liyan Xi
Previous study have shown that Penicillium marneffei (P. marneffei)-induced TNF-α production via an extracellular signal-regulated kinase (ERK) mitogen-activated protein kinase-dependent mechanism is an important host defence mechanism against P. marneffei in human macrophages. Therefore, we explore signaling pathway that regulates TNF-α secretion and activation of ERK1/2 by intracellular signaling mechanisms during P. marneffei infection. We found that ERK1/2 activation was dependent on the calcium/calmodulin/calmodulin kinase Ⅱ pathway in P...
April 2016: Microbial Pathogenesis
Siribun Panapruksachat, Shun Iwatani, Takahiro Oura, Nongnuch Vanittanakom, Ariya Chindamporn, Kyoko Niimi, Masakazu Niimi, Erwin Lamping, Richard D Cannon, Susumu Kajiwara
Penicilliosis caused by the dimorphic fungus Penicillium marneffei is an endemic, AIDS-defining illness and, after tuberculosis and cryptococcosis, the third most common opportunistic infection of AIDS patients in tropical Southeast Asia. Untreated, patients have poor prognosis; however, primary amphotericin B treatment followed by prolonged itraconazole prophylaxis is effective. To identify ATP-binding cassette (ABC) transporters that may play a role in potential multidrug resistance of P. marneffei, we identified and classified all 46 P...
July 1, 2016: Medical Mycology: Official Publication of the International Society for Human and Animal Mycology
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