Anti-Therapeutic Action: Immune reconstitution inflammatory syndrome

The dimorphic fungus Talaromyces marneffei: An opportunistic killer in Southeast Asia

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Talaromyces marneffei is a dangerous fungus found in Southeast Asian soils that causes serious lung infections when people breathe in its spores. The fungus has a clever trick: it transforms into different forms depending on temperature and hides inside immune cells by tricking them. People with weak immune systems, particularly those with advanced HIV/AIDS or certain genetic conditions, are most vulnerable to severe disease.

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Disseminated sporotrichosis caused by Sporothrix brasiliensis with testicular involvement

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This case report describes a rare fungal infection caused by Sporothrix brasiliensis in a 35-year-old man living with HIV/AIDS. The infection spread throughout his body, affecting his skin, lungs, brain, and testicles. Doctors initially thought the testicular involvement was cancer and removed the testicle, but lab tests confirmed it was a fungal infection. The patient was successfully treated with antifungal medications and remains disease-free one year later.

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Low Antigen Titre Disseminated Cryptococcosis in Immunocompromised Hosts: Two Challenging Case Reports

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Two patients with weakened immune systems developed serious fungal blood infections from Cryptococcus despite having unusually low levels of fungal markers in their blood. One was a kidney transplant patient and the other had HIV. Neither showed signs of brain infection, which is unusual for this disease. Both were successfully treated with aggressive antifungal medications once blood cultures confirmed the disseminated infection.

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