{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:20:30Z","timestamp":1792790430402,"version":"4.5.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Opportunistic infections in patients with human immunodeficiency virus (HIV) can mimic each other, complicating diagnosis. Here, we report a rare case of disseminated\n                    <jats:italic toggle=\"yes\">Talaromyces marneffei<\/jats:italic>\n                    in a 39-year-old immunocompromised male with HIV and pulmonary tuberculosis. The patient had respiratory symptoms, systemic manifestations, and skin lesions. Clinical and pathological investigations suggested disseminated histoplasmosis; however, microbiological culture confirmed the diagnosis of disseminated talaromycosis. Imaging confirmed central nervous system involvement. Treatment with amphotericin B led to significant initial clinical improvement; however, eventually the patient succumbed to his illness. This case highlights the importance of maintaining a high level of clinical suspicion and early detection, especially in endemic regions. Awareness among clinicians can improve outcomes in immunocompromised individuals by ensuring timely antifungal therapy.\n                  <\/jats:p>","DOI":"10.4103\/ijstd.ijstd_107_25","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T10:01:20Z","timestamp":1765360880000},"page":"225-227","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Disseminated talaromycosis with pulmonary tuberculosis coinfection in an immunocompromised patient mimicking disseminated histoplasmosis"],"prefix":"10.4103","volume":"46","author":[{"given":"Taiyeebur Rahman","family":"Mazumder","sequence":"first","affiliation":[{"name":"Department of General Medicine, NEIGRIHMS, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmeen","family":"Hynniewta","sequence":"additional","affiliation":[{"name":"Department of General Medicine, NEIGRIHMS, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kryshanlang Giri","family":"Lynrah","sequence":"additional","affiliation":[{"name":"Department of General Medicine, NEIGRIHMS, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biswajit","family":"Dey","sequence":"additional","affiliation":[{"name":"Department of Pathology, NEIGRIHMS, Shillong, Meghalaya, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"R1-20251210","first-page":"893","article-title":"Talaromyces marneffei outside endemic areas in India: An emerging infection with atypical clinical presentations and review of published reports from India","volume":"185","author":"Sethuraman","year":"2020","journal-title":"Mycopathologia"},{"key":"R2-20251210","doi-asserted-by":"crossref","DOI":"10.5070\/D3269050160","article-title":"Talaromycosis clinically and histopathologically mimicking histoplasmosis in an immunocompromised patient","volume":"26","author":"Widaty","year":"2020","journal-title":"Dermatol Online J"},{"key":"R3-20251210","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1007\/s11046-017-0191-z","article-title":"A twenty-first-century perspective of disseminated histoplasmosis in India: Literature review and retrospective analysis of published and unpublished cases at a tertiary care hospital in North India","volume":"182","author":"Gupta","year":"2017","journal-title":"Mycopathologia"},{"key":"R4-20251210","first-page":"436","article-title":"Histoplasmosis and penicilliosis among HIV-infected Thai patients: A retrospective review","volume":"43","author":"Rangwala","year":"2012","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"R5-20251210","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.ijid.2015.07.020","article-title":"Disseminated Talaromyces marneffei and Mycobacterium intracellulare coinfection in an HIV-infected patient","volume":"38","author":"Seok","year":"2015","journal-title":"Int J Infect Dis"},{"key":"R6-20251210","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4269\/ajtmh.16-1004","article-title":"Case report: Disseminated Talaromyces (Penicillium) marneffei and Mycobacterium tuberculosis coinfection in a japanese patient with acquired immunodeficiency syndrome","volume":"97","author":"Hatakeyama","year":"2017","journal-title":"Am J Trop Med Hyg"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_107_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:55:47Z","timestamp":1787068547000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_107_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_107_25","relation":{},"ISSN":["2589-0557","2589-0565"],"issn-type":[{"value":"2589-0557","type":"print"},{"value":"2589-0565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-05-26","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}