Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient

Abstract Background In acquired immunodeficiency syndrome patients, Talaromyces marneffei infections are mostly disseminated and may involve the skin, mucosa, respiratory system, digestive system, lymphatic system, and as some reports indicate, the nervous system. Mp1p, a cell wall-specific polysacc...

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Main Authors: Xiaofeng Li, Jing Wang, Jing He, Haiyan Zhang, Ming Luo
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Infectious Diseases
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Online Access:https://doi.org/10.1186/s12879-024-10336-w
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author Xiaofeng Li
Jing Wang
Jing He
Haiyan Zhang
Ming Luo
author_facet Xiaofeng Li
Jing Wang
Jing He
Haiyan Zhang
Ming Luo
author_sort Xiaofeng Li
collection DOAJ
description Abstract Background In acquired immunodeficiency syndrome patients, Talaromyces marneffei infections are mostly disseminated and may involve the skin, mucosa, respiratory system, digestive system, lymphatic system, and as some reports indicate, the nervous system. Mp1p, a cell wall-specific polysaccharide in Talaromyces marneffei, is used for laboratory diagnosis of Talaromyces marneffei in blood and urine samples. However, Cerebrospinal fluid Mp1p diagnosis of Talaromyces marneffei central nervous system infection has not been reported. Case presentation We present the case of an acquired immunodeficiency syndrome 35-year-old woman who has had dizziness and headache and was infected with central nervous system Talaromycosis.Magnetic resonance imaging scan which showed intracranial infectious lesions, altered brain atrophic, and periventricular demyelination.The Mp1p antigen was positive by using immunofluorescence in the Cerebrospinal fluid. Talaromyces marneffei was isolated from the Cerebrospinal fluid.After antifungal treatment, her clinical symptoms significantly improved. Conclusions Talaromyces marneffei central nervous system infection is rare. If the patient has symptoms of central nervous system, the Cerebrospinal fluid Mp1p antigen and culture should be performed to make a definitive diagnosis.
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institution Kabale University
issn 1471-2334
language English
publishDate 2024-12-01
publisher BMC
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series BMC Infectious Diseases
spelling doaj-art-1a868c17d95a46f5af7cd855272fdd9b2024-12-29T12:11:25ZengBMCBMC Infectious Diseases1471-23342024-12-012411510.1186/s12879-024-10336-wTalaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patientXiaofeng Li0Jing Wang1Jing He2Haiyan Zhang3Ming Luo4Clinical Laboratory, Chongqing Public Health Medical CenterClinical Laboratory, Chongqing Public Health Medical CenterClinical Laboratory, Chongqing Public Health Medical CenterClinical Laboratory, Chongqing Public Health Medical CenterCentral Laboratory, Chongqing Public Health Medical CentreAbstract Background In acquired immunodeficiency syndrome patients, Talaromyces marneffei infections are mostly disseminated and may involve the skin, mucosa, respiratory system, digestive system, lymphatic system, and as some reports indicate, the nervous system. Mp1p, a cell wall-specific polysaccharide in Talaromyces marneffei, is used for laboratory diagnosis of Talaromyces marneffei in blood and urine samples. However, Cerebrospinal fluid Mp1p diagnosis of Talaromyces marneffei central nervous system infection has not been reported. Case presentation We present the case of an acquired immunodeficiency syndrome 35-year-old woman who has had dizziness and headache and was infected with central nervous system Talaromycosis.Magnetic resonance imaging scan which showed intracranial infectious lesions, altered brain atrophic, and periventricular demyelination.The Mp1p antigen was positive by using immunofluorescence in the Cerebrospinal fluid. Talaromyces marneffei was isolated from the Cerebrospinal fluid.After antifungal treatment, her clinical symptoms significantly improved. Conclusions Talaromyces marneffei central nervous system infection is rare. If the patient has symptoms of central nervous system, the Cerebrospinal fluid Mp1p antigen and culture should be performed to make a definitive diagnosis.https://doi.org/10.1186/s12879-024-10336-wAIDS1,Talaromyces marneffei2,Mp1p3,central nervous system4,talaromycosis5
spellingShingle Xiaofeng Li
Jing Wang
Jing He
Haiyan Zhang
Ming Luo
Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
BMC Infectious Diseases
AIDS1,Talaromyces marneffei2,Mp1p3,central nervous system4,talaromycosis5
title Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
title_full Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
title_fullStr Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
title_full_unstemmed Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
title_short Talaromyces marneffei central nervous system infection unveiled by the novel Mp1p antigen detection assay in AIDS patient
title_sort talaromyces marneffei central nervous system infection unveiled by the novel mp1p antigen detection assay in aids patient
topic AIDS1,Talaromyces marneffei2,Mp1p3,central nervous system4,talaromycosis5
url https://doi.org/10.1186/s12879-024-10336-w
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