Research Keyword: Diagnostic challenge

Cryptococcus albidus (Naganishia albida) meningitis in a young patient with T-cell acute lymphoblastic leukaemia

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A 16-year-old boy with leukemia developed meningitis caused by a rare fungus called Cryptococcus albidus. Doctors initially thought he had a viral infection and started him on antiviral medication, but specialized fungal tests revealed the true culprit. Treatment with antifungal medications successfully cured the infection, demonstrating the importance of identifying the exact cause of infection to provide the right treatment.

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Photo Quiz: A cutaneous fungal infection with discordant biomarker results—a diagnostic challenge

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A woman with advanced HIV infection presented with skin sores and respiratory symptoms that were initially suspected to be a viral infection. Testing revealed she had histoplasmosis, a serious fungal infection caused by Histoplasma capsulatum that had spread throughout her body affecting her skin, lungs, and lymph nodes. While standard tests for this fungus were negative, other fungal markers and cultures eventually confirmed the diagnosis, and she was treated with antifungal medications.

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When Emerging Fungal Infections Mimic Tuberculosis: First Reported Case of Invasive Emergomyces europaeus Infection in a Man With Immunocompromise Living in France

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A 65-year-old man living in France who received a kidney transplant developed a serious fungal infection caused by Emergomyces europaeus, a rare fungus that initially appeared to be tuberculosis. Doctors used advanced genetic testing to identify the unusual fungus in samples from his lungs and bone marrow. The patient was treated with a combination of antifungal medications, which successfully cleared the infection. This is the first time this particular fungal infection has been documented in France and highlights how emerging infections can mimic more common diseases.

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