Histoplasmosis and penicilliosis among HIV-infected Thai patients: a retrospective review

Southeast Asian J Trop Med Public Health. 2012 Mar;43(2):436-41.

Abstract

Histoplasmosis and penicilliosis are fungal infections with similar clinical presentation and laboratory findings that were reported mainly in the era prior to highly active antiretroviral therapy. We conducted a retrospective review at two hospitals in Central Thailand of the medical records of HIV-positive patients with microbiologic evidence of histoplasmosis or penicilliosis between January 2003 to September 2007 when antiretrovirals became widely available in Thailand. Fifty patients met inclusion criteria; 36 had histoplasmosis, and 14 had penicilliosis. Symptoms and laboratory findings on presentation were similar between the two infections except for a greater incidence of tachypnea and neutropenia among patients with histoplasmosis (both p < 0.05). For histoplasmosis, blood culture had a significantly lower yield for detecting infection compared to tissue microscopic examination highlighting the importance of obtaining tissue for diagnosis (p < 0.05).

MeSH terms

  • AIDS-Related Opportunistic Infections / epidemiology*
  • Adult
  • Female
  • Histoplasmosis / epidemiology*
  • Humans
  • Incidence
  • Male
  • Mycoses / epidemiology*
  • Penicillium / isolation & purification*
  • Retrospective Studies
  • Thailand / epidemiology