A 23-year-old man from North Africa with a genetic immune disorder (CARD9 deficiency) developed a serious fungal skin infection with deep tissue involvement. The infection caused multiple pus-filled pockets and hair loss on his scalp. Doctors treated him with both antifungal medications and surgery to drain the infected areas, resulting in complete healing after two weeks.
Talaromyces marneffei is a dangerous fungus found in Southeast Asian soil that people inhale, causing a serious disease called talaromycosis. The fungus is particularly deadly for people with weakened immune systems like those with advanced HIV. The fungus has evolved clever tricks to hide from and manipulate the body’s immune system, allowing it to multiply inside immune cells called macrophages.
This study examines rare fungal infections in patients with Chronic Granulomatous Disease, a genetic disorder affecting the immune system. Researchers found that these patients develop various unusual fungal infections despite taking preventive antifungal medications. The infections are difficult to diagnose, often requiring surgical procedures, but can sometimes be cured through stem cell transplantation combined with intensive antifungal treatment.