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Correspondence
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Volume 330:717-718 March 10, 1994 Number 10
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Bone Marrow Diagnosis of Penicilliosis

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 by Swain, J. A.
To the Editor: Penicillium marneffei is a dimorphic fungus that can infect either immunocompromised or healthy people. The infection is most likely to be seen in Asians,1,2 particularly in the setting of AIDS3,4. The diagnosis may be difficult, since the infection is sometimes mistaken for drug-resistant tuberculosis2. We report a case of penicilliosis that was diagnosed by bone marrow examination.

A 26-year-old heterosexual Chinese man who was infected with the human immunodeficiency virus was evaluated for fever and hepatosplenomegaly. Examination of a peripheral-blood sample revealed a hemoglobin level of 5.2 g per deciliter, a leukocyte count of 3900 . . . [Full Text of this Article]

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