Problemas clínicos en Micología Médica: problema número 55 |
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Authors: | Mercedes Romero Fernando Messina Roxana Depardo Emmanuel Marín Alicia Arechavala Nicolás Lista Alejandra Rodríguez Gabriela Santiso |
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Institution: | 1. Unidad de Micología, Hospital de Infecciosas F. J. Muñiz, Buenos Aires, Argentina;2. Unidad de Terapia Intensiva, Hospital de Infecciosas F. J. Muñiz, Buenos Aires, Argentina |
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Abstract: | A 31-year-old woman, with signs of HIV infection (oral thrush, weight loss, asthenia) presented to our hospital with dyspnea and fever. A rapid HIV test yielded a positive result, and cryptococcal capsular antigen was detected in serum. In the mycological study of the clinical respiratory samples, yeasts compatible with Cryptococcus were observed under light microscope in a wet mount; structures compatible with Pneumocystis jirovecii were also observed in Giemsa stain. Treatment for both pathologies was prescribed but, unfortunately, the patient died 7 days after. The finding of two etiologic agents in the same clinical picture is rare but not exceptional, and it always must be considered in immunocompromised hosts. |
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