Infecciones bacterianas, micobacterianas y micóticas oportunistas en el inmigrante infectado por el VIH: diagnóstico y tratamiento

Enfermedades Infecciosas y Microbiologia Clinica - Tập 26 - Trang 22-30 - 2008
José Luis Pérez Arellano1, Miguel de Górgolas Hernández-Mora2, Félix Gutiérrez Rodero3, Fernando Dronda Núñez4
1Unidad de Enfermedades Infecciosas y Medicina Tropical. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria. España
2División de Enfermedades Infecciosas. Fundación Jiménez Díaz. Madrid. España
3Unidad de Enfermedades Infecciosas. Hospital Universitario de Elche. Alicante. España
4Servicio de Enfermedades Infecciosas. Hospital Ramón y Cajal. Madrid. España

Tài liệu tham khảo

Karp, 1999, Tropical infectious diseases in human immunodeficiency virus-infected patients, Clin Infect Dis, 28, 947, 10.1086/514745 Sanz, 2006, Tuberculosis e inmigración en España. Evidencias y controversias, Med Clin (Barc), 126, 259, 10.1157/13085289 Slotar, 2002, Prophylaxis of opportunistic infections in HIV-infected adults in sub-Saharan Africa: opportunities and obstacles, AIDS, 16, 1309, 10.1097/00002030-200207050-00002 Slotar, 2002, Pulmonary manifestations of HIV/AIDS in the tropics, Clin Chest Med, 23, 355, 10.1016/S0272-5231(01)00003-X Gilks, 1997, Royal Society of Tropical Medicine and Hygiene meeting at Manson House, London, 12 December 1996 HIV and pneumococcal infection in Africa. Clinical, epidemiological and preventative aspects, Trans R Soc Trop Med Hyg, 91, 627, 10.1016/S0035-9203(97)90498-3 Gwanzura, 2003, Rapid emergence of resístanse to penicillin and trimethoprim-sulphamethoxazole in invasive Streptococcus pneumoniae in Zimbabwe, Int J Antimicrob Agents, 21, 557, 10.1016/S0924-8579(03)00052-9 Kipp, 1992, Meningococcal meningitis and HIV infection: results from a case-control study in western Uganda, AIDS, 6, 1557, 10.1097/00002030-199212000-00031 Brindle, 1991, No association between meningococcal disease and human immunodeficiency virus in adults in Nairobi, Kenya, Trans R Soc Trop Med Hyg, 85, 651, 10.1016/0035-9203(91)90380-H Hahne, 2002, W135 meningococcal disease in England and Wales associated with Hajj 2000 and 2001, Lancet, 359, 582, 10.1016/S0140-6736(02)07716-4 Diallo, 1997, Sexually transmitted diseases and human immunodeficiency virus infections in women attending an antenatal clinic in Abidjan, Cote d’Ivoire, Int J STD AIDS, 8, 636, 10.1258/0956462971918904 Asamoah-Adu, 2001, HIV infection among sex workers in Accra: need to target new recruits entering the trade, J Acquir Immune Defic Syndr, 28, 358, 10.1097/00126334-200112010-00009 Davies, 2003, Sexually transmitted infections among female sex workers in Kupang, Indonesia: searching for a screening algorithm to detect cervical gonococcal and chlamydial infections, Sex Transm Dis, 30, 671, 10.1097/01.OLQ.0000075850.22166.DB Paris, 1999, Prevalence of gonococcal and chlamydial infections in commercial sex workers in a Peruvian Amazon city, Sex Transm Dis, 26, 103, 10.1097/00007435-199902000-00008 Guiliani, 2004, Differences between nonnational and indigenous patients with sexually transmitted infections in Italy and insight into the control of sexually transmitted infections, Sex Transm Dis, 31, 79, 10.1097/01.OLQ.0000109975.74152.29 Choudhury, 2006, Identification of individuals with gonorrhoea within sexual networks: a population-based study, Lancet, 368, 139, 10.1016/S0140-6736(06)69003-X Jurado, 1993, Increased risk of meningitis and bacteremia due to Listeria monocytogenes in patients with human immunodeficiency virus infection, Clin Infect Dis, 17, 224, 10.1093/clinids/17.2.224 Berenguer, 1991, Listeriosis in patients infected with human immunodeficiency virus, Rev Infect Dis, 13, 115, 10.1093/clinids/13.1.115 Valencia Ortega, 2000, Listeriosis: una enfermedad infrecuente en pacientes con VIH, An Med Interna (Madrid), 17, 649, 10.4321/S0212-71992000001200007 Guerra, 2004, Listeriosis en pacientes con infección por el virus de la inmunodeficiencia humana en España. Tres nuevos casos y revisión de la literatura, Enferm Infecc Microbiol Clin, 22, 18, 10.1157/13056687 Paulet, 1994, Visceral form of human anthrax imported from Africa, Presse Med, 23, 477 Gordon, 2002, Non-typhoidal salmonella bacteraemia among HIV-infected Malawian adults: high mortality and frequent recrudescence, AIDS, 16, 1633, 10.1097/00002030-200208160-00009 Gordon, 2001, Bacteraemia and mortality among adult medical admissions in Malawi —predominance of non-typhi salmonellae and Streptococcus pneumoniae, J Infect, 42, 44, 10.1053/jinf.2000.0779 Graham, 2000, Clinical presentation of non-typhoidal Salmonella bacteraemia in Malawian children, Trans R Soc Trop Med Hyg, 94, 310, 10.1016/S0035-9203(00)90337-7 Brown, 2000, Non-typhoidal Salmonella bacteraemia without gastroenteritis: a marker of underlying immunosuppression. Review of cases at St. Thomas’ Hospital 1970-1999, J Infect, 41, 256, 10.1053/jinf.2000.0750 Vidal, 2003, Liver abscess due to Salmonella enteritidis in a returned traveler with HIV infection: case report and review of the literature, Rev Inst Med Trop Sao Paulo, 45, 115, 10.1590/S0036-46652003000200014 Bernabeu-Wittel, 1999, Etiology, clinical features and outcome of splenic microabscesses in HIV-infected patients with prolonged fever, Eur J Clin Microbiol Infect Dis, 18, 324, 10.1007/PL00015013 Dowling, 2002, Are intestinal helminths a risk factor for non-typhoidal Salmonella bacteraemia in adults in Africa who are seropositive for HIV? A case-control study, Ann Trop Med Parasitol, 96, 203, 10.1179/000349802125000277 Eriksen, 2002, Brucellosis in immigrants in Denmark, Scand J Infect Dis, 34, 540, 10.1080/003655402320208811 Moreno, 1998, Brucellosis in patients infected with the human immunodeficiency virus, Eur J Clin Microbiol Infect Dis, 17, 319, 10.1007/BF01709454 White, 2003, Melioidosis, Lancet, 361, 1715, 10.1016/S0140-6736(03)13374-0 Ip, 1995, Pulmonary melioidosis, Chest, 108, 1420, 10.1378/chest.108.5.1420 Pérez, 1997, First case report of melioidosis in Guadeloupe, a French West Indies archipelago, Clin Infect Dis, 25, 164, 10.1086/516896 Dorman, 1998, Burkholderia pseudomallei infection in a Puerto Rican patient with chronic granulomatous disease: case report and review of occurrences in the Americas, Clin Infect Dis, 26, 889, 10.1086/513928 Dance, 2000, Melioidosis as an emerging global problem, Acta Trop, 74, 115, 10.1016/S0001-706X(99)00059-5 Kanai, 1992, A preliminary survey for human immunodeficient virus (HIV) infections in tuberculosis and melioidosis patients in Ubon Ratchathani, Thailand, Jpn J Med Sci Biol, 45, 247, 10.7883/yoken1952.45.247 Wuthiekanun, 2001, Value of throat swab in diagnosis of melioidosis, J Clin Microbiol, 39, 3801, 10.1128/JCM.39.10.3801-3802.2001 Chierakul, 2005, Disease severity and outcome of melioidosis in HIV coinfected individuals, Am J Trop Med Hyg, 73, 1165, 10.4269/ajtmh.2005.73.1165 Ganoza, 2005, Mild, self-resolving acute leptospirosis in an HIV-Infected patient in the peruvian amazon, Am J Trop Med Hyg, 73, 67, 10.4269/ajtmh.2005.73.67 Neves Ede, 1994, Leptospirosis patient with AIDS: the first case reported, Rev Soc Bras Med Trop, 27, 39, 10.1590/S0037-86821994000100008 Lynn, 2004, Syphilis and HIV: a dangerous combination, Lancet Infect Dis, 4, 456, 10.1016/S1473-3099(04)01061-8 Buchacz, 2004, Syphilis increases HIV viral load and decreases CD4 cell counts in HIV-infected patients with new syphilis infections, AIDS, 18, 2075, 10.1097/00002030-200410210-00012 Rompalo, 1992, Association of biologic false-positive reactions for syphilis with human immunodeficiency virus infection, J Infect Dis, 165, 1124, 10.1093/infdis/165.6.1124 Augenbraun, 1994, Biological false-positive syphilis test results for women infected with human immunodeficiency virus, Clin Infect Dis, 19, 1040, 10.1093/clinids/19.6.1040 Hicks, 1987, Seronegative secondary syphilis in a patient with the human immunodeficiency virus (HIV) with Kaposi sarcoma: a diagnostic dilemma, Ann Intern Med, 107, 492, 10.7326/0003-4819-107-4-492 Tikjob, 1991, Seronegative secondary syphilis in a patient with AIDS: identification of Treponema pallidum in a biopsy specimen, J Am Acad Dermatol, 24, 506, 10.1016/S0190-9622(08)80082-5 Erbelding, 1997, Syphilis serology in human immunodeficiency virus infection: evidence for false-negative fluorescent treponemal testing, J Infect Dis, 176, 1397, 10.1086/517330 Haas, 1990, Sensitivity of treponemal tests for detecting prior treated syphilis during human immunodeficiency virus infection, J Infect Dis, 162, 862, 10.1093/infdis/162.4.862 Johnson, 1991, Specific syphilis serological tests may become negative in HIV infection, AIDS, 5, 419, 10.1097/00002030-199104000-00010 Kumar, 2001, Mucocutaneous manifestations of secondary syphilis in north Indian patients: a changing scenario?, J Dermatol, 28, 137, 10.1111/j.1346-8138.2001.tb00107.x Laga, 1992, Interactions between STDs and HIV infection, STD Bull, 13, 3 Schofer, 1996, Active syphilis in HIV infection: a multicentre retrospective survey. The German AIDS Study Group (GASG), Genitourin Med, 72, 176 Bartlett JG, Gallant JE. 2003 Medical Management of HIV infection. Disponible en: http://www.hopkins-hivguide.org Rolfs, 1997, A randomized trial of enhanced therapy for early syphilis in patients with and without human immunodeficiency virus infection. The Syphilis and HIV Study Group, N Engl J Med, 337, 307, 10.1056/NEJM199707313370504 Telzak, 1991, Syphilis treatment response in HIV-infected individuals, AIDS, 5, 591, 10.1097/00002030-199105000-00020 Yinnon, 1996, Serologic response to treatment of syphilis in patients with HIV infection, Arch Intern Med, 156, 321, 10.1001/archinte.156.3.321 Valls Mayans, 2002, Infección por el virus de la inmunodeficiencia humana y otras infecciones de transmisión sexual en inmigrantes de Barcelona, Enf Infecc Microbiol Clin, 20, 154, 10.1016/S0213-005X(02)72777-8 Gerbase, 1998, Global prevalence and incidence estimates of selected curable STD, Sex Transm Infect, 74, S12 Cordoliani, 1997, Atypical Lyme borreliosis in an HIV-infected man, Br J Dermatol, 137, 437, 10.1111/j.1365-2133.1997.tb03754.x Dudle, 1997, Meningitis after acute Borrelia burgdorferi infection in HIV infection, Dtsch Med Wochenschr, 122, 1178, 10.1055/s-2008-1047745 Oteo Revuelta, 1993, Infection by Borrelia burgdorferi in patients with the human immunodeficiency virus. A diagnostic problem, Med Clin (Barc), 101, 207 Hernández-Novoa, 2003, Utility of a commercial immunoblot kit (BAG-Borrelia blot) in the diagnosis of the preliminary stages of Lyme disease, Diag Microbiol Infect Dis, 47, 321, 10.1016/S0732-8893(03)00111-1 Cerny, 2006, Neuroborreliosis in an HIV-1 positive patient, Infection, 34, 100, 10.1007/s15010-006-4134-8 Segura, 2002, Primary HIV type-1 infection misdiagnosed as mediterranean spotted fever, Eur J Clin Microbiol Infect Dis, 21, 478, 10.1007/s10096-002-0750-0 Brook, 1991, A typhus-like illness caused by acute HIV seroconversion, Postgrad Med J, 67, 92, 10.1136/pgmj.67.783.92 Jensenius, 2003, African tick bite fever, Lancet Infect Dis, 3, 557, 10.1016/S1473-3099(03)00739-4 Lutwick, 2001, Brill-Zinsser disease, Lancet, 357, 1198, 10.1016/S0140-6736(00)04339-7 Kantipong, 1996, Infection with human immunodeficiency virus does not influence the clinical severity of scrub typhus, Clin Infect Dis, 23, 1168, 10.1093/clinids/23.5.1168 Watt, 2000, HIV-1 suppresion during acute scrub-typhus infection, Lancet, 356, 475, 10.1016/S0140-6736(00)02557-5 Moriuchi, 2003, In vitro reactivation of human immunodeficiency virus-1 upon stimulation with scrub typhus rickettsial infection, Am J Trop Med Hyg, 68, 557, 10.4269/ajtmh.2003.68.557 Morera Montes, 1988, False positive result for antibodies against human immunodeficiency virus in Q fever, Med Clin (Barc), 91, 39 De la Calle, 1998, False positivity of antibodies against human immunodeficiency virus in a case of Q fever, Rev Clin Esp, 198, 401 Montes, 1995, Coxiella burnetii infection in subjects with HIV infection and HIV infection in patients with Q fever, Scand J Infect Dis, 27, 344, 10.3109/00365549509032728 Boschini, 1999, Consecutive epidemics of Q fever in a residential facility for drug abusers: impact on persons with human immunodeficiency virus infection, Clin Infect Dis, 28, 866, 10.1086/515192 Raoult, 1993, Q fever and HIV infection, AIDS, 7, 81, 10.1097/00002030-199301000-00012 Belec, 1993, Coxiella burnetii infection among subjects infected with HIV type 1 in the Central African Republic, Eur J Clin Microbiol Infect Dis, 12, 775, 10.1007/BF02098468 Losa, 2003, Infective endocarditis not related to intravenous drug abuse in HIV-1-infected patients: report of eight cases and review of the literature, Clin Microbiol Infect, 9, 45, 10.1046/j.1469-0691.2003.00505.x Madariaga, 2004, Q fever endocarditis in HIV-infected patient, Emerg Infect Dis, 10, 501, 10.3201/eid1003.030971 Koehler, 1995, Bartonella-associated infections in HIV-infected patients, AIDS Clin Care, 7, 97 Regnery, 1995, Infections associated with Bartonella species in persons infected with human immunodeficiency virus, Clin Infect Dis, 21, S94, 10.1093/clinids/21.Supplement_1.S94 Abino, 2002, Bacillary splenitis (Bartonella henselae) during immune restoration in an HIV-infected patient, AIDS, 16, 1429, 10.1097/00002030-200207050-00018 Comer, 2001, Evidence of rodentassociated Bartonella and Rickettsia infections among intravenous drug users from Central and East Harlem, New York City, Am J Trop Med Hyg, 65, 855, 10.4269/ajtmh.2001.65.855 Ramos, 2002, Prevalence of Bartonella spp. seropositivity in human immunodeficiency virus-infected and non infected intravenous drug abusers, Med Clin (Barc), 119, 565, 10.1016/S0025-7753(02)73500-8 Raoult, 2001, Infections in the homeless, Lancet Infect Dis, 1, 77, 10.1016/S1473-3099(01)00062-7 Koehler, 2003, Prevalence of Bartonella infection among human immunodeficiency virus-infected patients with fever, Clin Infect Dis, 37, 559, 10.1086/375586 Frean, 2002, High rate of Bartonella henselae infection in HIV-positive outpatients in Johannesburg, South Africa, Trans R Soc Trop Med Hyg, 96, 549, 10.1016/S0035-9203(02)90437-2 Koehler, 2003, Prevalence of Bartonella infection among human immunodeficiency virus-infected patients with fever, Clin Infect Dis, 37, 559, 10.1086/375586 Pape, 2005, Ocurrente of Bartonella henselae and Bartonella quintana among human immunodeficiency virus-infected patients, Ann N Y Acad Sci, 1063, 299, 10.1196/annals.1355.047 García-García, 2003, Dinámica de anticuerpos IgG frente a Bartonella spp. en la enfermedad por arañazo de gato y en pacientes asintomáticos infectados por el virus de la inmunodeficiencia humana, Med Clin (Barc), 120, 494, 10.1157/13045806 Talbot, 2003, Ehrlichia chaffeensis infections among HIV-infected patients in a human monocytic ehrlichiosis-endemic area, Emerg Infect Dis, 9, 1123, 10.3201/eid0909.020560 Paddock, 2001, Infections with Ehrlichia chaffeensis and Ehrlichia ewingii in persons coinfected with human immunodeficiency virus, Clin Infect Dis, 33, 1586, 10.1086/323981 Paddock, 1993, Fatal seronegative ehrlichiosis in a patient with HIV infection, N Engl J Med, 329, 1164, 10.1056/NEJM199310143291605 Santos, 2002, Nocardiosis en pacientes con infección por VIH, Rev Clin Esp, 202, 375, 10.1016/S0014-2565(02)71084-9 Pintado, 2003, Nocardial infections in patients infected with the human immunodeficiency virus, Clin Microbiol Infect, 9, 716, 10.1046/j.1469-0691.2003.00588.x Pintado García, 2002, Nocardiosis asociada a la infección por VIH: ¿estamos ante una enfermedad diferente?, Rev Clin Esp, 202, 365, 10.1016/S0014-2565(02)71082-5 Biscione, 2005, Nocardiosis en pacientes con infección por el virus de la inmunodeficiencia humana, Enferm Infecc Microbiol Clin, 23, 419, 10.1157/13078801 Jones, 2000, Nocardial infection as a complication of HIV in South Africa, J Infect, 41, 232, 10.1053/jinf.2000.0729 Lucas, 1994, Nocardiosis in HIV-positive patients: an autopsy study in West Africa, Tuber Lung Dis, 75, 301, 10.1016/0962-8479(94)90137-6 Weinstock, 2002, Rhodococcus equi: an emerging pathogen, Clin Infect Dis, 34, 1379, 10.1086/340259 Torres-Tortosa, 2003, Prognosis and clinical evaluation of infection caused by Rhodococcus equi in HIV-infected patients: a multicenter study of 67 cases, Chest, 123, 1970, 10.1378/chest.123.6.1970 Perrymore, 1997, Dense Rhodococcus cerebral abscesses in an HIV-positive patient, Neuroradiology, 39, 581, 10.1007/s002340050471 Gray, 2000, Rhodococcus equi and HIV-1 infection in Uganda, J Infect, 41, 227, 10.1053/jinf.2000.0730 Casal, 2003, Cómo denominar a las micobacterias diferentes a Mycobacterium tuberculosis y a M. leprae, Enferm Infecc Microbiol Clin, 21, 296, 10.1157/13048577 Ponnighaus, 1991, Is HIV infection a risk factor for leprosy?, Int J Lepr Other Mycobact Dis, 59, 221 Miller, 1991, Leprosy and AIDS: a review of the literature and speculations on the impact of CD4+ lymphocyte depletion on immunity to Mycobacterium leprae, Int J Lepr Other Mycobact Dis, 59, 639 Lucas, 1993, Human immunodeficiency virus and leprosy, Lepr Rev, 64, 97 Munyao, 1994, Human immunodeficiency virus-1 in leprosy patients attending Kenyatta National Hospital, Nairobi, East Afr Med J, 71, 490 Goodless, 1994, Borderline tuberculoid Hansen's disease in AIDS, J Am Acad Dermatol, 30, 866, 10.1016/S0190-9622(94)70101-6 Ustianowski, 2006, Interactions between HIV infection and leprosy: a paradox, Lancet Infect Dis, 6, 350, 10.1016/S1473-3099(06)70493-5 Ooi, 2001, Update on Leprosy in immigrants in the United States: status in the year 2000, Clin Infect Dis, 32, 930, 10.1086/319357 Gómez Jiménez, 1997, Sospechar la lepra, Aten Primaria, 20, 107 López-Vélez, 1999, Lepra simulando otras enfermedades, Rev Clin Esp, 199, 369 Moreno-Giménez, 2000, Lepromatous leprosy in an HIV-positive patient in Spain, J Eur Acad Dermatol Venereol, 14, 290, 10.1046/j.1468-3083.2000.00076.x Flórez, 2002, Enfermedad de Hansen: a propósito de dos casos de lepra lepromatosa en Pontevedra, Med Clin (Barc), 118, 718, 10.1016/S0025-7753(02)72509-8 Almeida, 2004, Lesiones cutáneas hiperpigmentadas en un inmigrante de raza negra, Rev Clin Esp, 204, 29, 10.1157/13056790 American Thoracic Society. Diagnosis and treatment of disease caused by nontuberculous mycobacteria. This official statement of the American Thoracic Society was approved by the Board of Directors, March 1997. Medical Section of the American Lung Association. Am J Respir Crit Care Med. 1997;156(2 Pt 2):S1-25. Falkinham, 1996, Epidemiology of infection by nontuberculous mycobacteria, Clin Microbiol Rev, 9, 177, 10.1128/CMR.9.2.177 Stienstral, 2001, Susceptibility to development of Mycobacterium ulcerans disease: review of possible risk factors, Trop Med Intern Health, 6, 554, 10.1046/j.1365-3156.2001.00746.x Delaporte, 1996, Mycobacterium ulcerans associated with infection due to the human immunodeficiency virus, Clin Infect Dis, 23, 1168 Raghunathan, 2005, Risk factors for Buruli Ulcer Disease (Mycobacterium ulcerans infection): results from a case-control study in Ghana, Clin Infect Dis, 40, 1445, 10.1086/429623 Johnson, 2002, Disseminated Mycobacterium ulcerans disease in an HIV-positive patient: a case study, AIDS, 16, 1704, 10.1097/00002030-200208160-00027 Dore, 2001, Spectrum of AIDS-defining illnesses in Australia, 1992 to 1998: influence of country/region of birth, J Acquir Immune Defic Syndr, 26, 283, 10.1097/00042560-200103010-00012 Fisk, 2003, Pneumocystis carinii pneumonia in Patients in the Developing World Who Have Acquired Immunodeficiency Síndrome, Clin Infect Dis, 36, 70, 10.1086/344951 Serrano, 1997, Epidemiology of human immunodeficiency virus infection in Central Americans treated in Harris County, Texas Hospital District facilities, Am J Trop Med Hyg, 57, 678, 10.4269/ajtmh.1997.57.678 Lockman, 2003, Etiology of pulmonary infections in predominantly HIV-infected adults with suspected tuberculosis, Botswana, Int J Tuberc Lung Dis, 7, 714 Chakaya, 2003, Pneumocystis carinii pneumonia in HIV/AIDS patients at an urban district hospital in Kenya, East Afr Med J, 80, 30 Aderaye, 2003, Occurrence of Pneumocystis carinii in HIV-positive patients with suspected pulmonary tuberculosis in Ethiopia, AIDS, 17, 435, 10.1097/00002030-200302140-00018 Karstaedt, 2002, Cryptococcal meningitis caused by Cryptococcus neoformans var. gattii, serotype C, in AIDS patients in Soweto. South Africa, Med Mycol, 40, 7, 10.1080/mmy.40.1.7.11 Marques, 2000, Mycoses associated with AIDS in the Third World, Med Mycol, 38, 269, 10.1080/mmy.38.s1.269.279 French, 2002, Cryptococcal infection in a cohort of HIV-1-infected Ugandan adults, AIDS, 16, 1031, 10.1097/00002030-200205030-00009 Grant, 1997, Natural history and spectrum of disease in adults with HIV/AIDS in Africa, AIDS, 11, S43 Ramos Rincón, 2003, Criptococosis diseminada en inmigrantes colombianos con infección por el virus de la inmunodeficiencia humana, Med Clin (Barc), 120, 518, 10.1157/13045800 Xavier, 2006, HIV and Lacaziosis, Brazil, Emerg Infect Dis, 12, 526, 10.3201/eid1203.051426 Stricker, 1999, An unusual infection in a human immunodeficiency virus–positive man, Arch Pathol Lab Med, 123, 1121, 10.5858/1999-123-1121-PQCAUI Raffanti, 1990, Native valve endocarditis due to Pseudallescheria boydii in a patient with AIDS: case report and review, Rev Infect Dis, 12, 993, 10.1093/clinids/12.6.993 Scherr, 1992, Pseudallescheria boydii infection in the acquired immunodeficiency syndrome, Arch Pathol Lab Med, 116, 535 Montero, 1998, Cerebral pseudallescheriasis due to Pseudallescheria boydii as the first manifestation of AIDS, Clin Infect Dis, 26, 1476, 10.1086/517674 Van den Saffele, 1996, Zygomycosis in HIV-positive patients: a review of the literature, Mycoses, 39, 77, 10.1111/j.1439-0507.1996.tb00106.x Blázquez, 1996, Nonsurgical cure of isolated cerebral mucormycosis in an intravenous drug user, Eur J Clin Microbiol Infect Dis, 15, 598, 10.1007/BF01709370 Carvalhal, 1997, Mucormycosis presenting as a renal mass in a patient with the human immunodeficiency virus, J Urol, 158, 2230, 10.1016/S0022-5347(01)68208-9 Guardia, 2000, Renal mucormycosis in the HIV patient, Am J Kidney Dis, 35, E24, 10.1016/S0272-6386(00)70289-7 Moraru, 2000, Palatal necrosis in an AIDS patient: a case of mucormycosis, Cutis, 66, 15 Virally, 2002, Pulmonary mucormycosis in a diabetic patient with HIV, Diabetes Care, 25, 2105, 10.2337/diacare.25.11.2105 Supparatpinyo, 1994, Disseminated Penicillium marneffei infection in southeast Asia, Lancet, 344, 110, 10.1016/S0140-6736(94)91287-4 Sirisanthana, 2001, Penicillium marneffei infection in patients with AIDS, Emerg Infect Dis, 7, 561, 10.3201/eid0703.010334 Chariyalertsak, 1997, Case control study of risk factors for the Penicillium marneffei infection in HIV-infected patients in northern Thailand, Clin Infect Dis, 24, 1080, 10.1086/513649 Berbegal, 2003, Infección diseminada por Penicillium marneffei en un paciente infectado por el VIH, Med Clin (Barc), 121, 36, 10.1157/13048466 Antinori, 2006, Disseminated Penicillium marneffei infection in an HIV-positive Italian patient and a review of cases reported outside endemic regions, J Travel Med, 13, 181, 10.1111/j.1708-8305.2006.00039.x Kantipong, 1998, Hepatic penicilliosis in patients without skin lesions, Clin Infect Dis, 26, 1215, 10.1086/520282 Sirisanthana, 1998, Amphotericin B and itraconazole for treatment of disseminated Penicillium marneffei infection in human immunodeficiency virus-infected patients, Clin Infect Dis, 26, 1107, 10.1086/520280 Supparatpinyo, 1998, A controlled trial of itraconazole to prevent relapse of Penicillium marneffei infection in patients infected with the human immunodeficiency virus, N Engl J Med, 339, 1739, 10.1056/NEJM199812103392403 Cano, 2001, The epidemiology of histoplasmosis: a review, Semin Respir Infect, 16, 109, 10.1053/srin.2001.24241 Bouza Santiago, 1997, Coccidioidomicosis y otras micosis regionales, Rev Clin Esp, 197, S75 Sarosi, 1992, Disseminated histoplasmosis in patients infected with human immunodeficiency virus, Clin Infect Dis, 14, S60, 10.1093/clinids/14.Supplement_1.S60 Rivasi, 2001, Histoplasma capsulatum var. capsulatum occurring in an HIV-positive Ghanaian immigrant to Italy. Identification of H. capsulatum DNA by PCR from paraffin sample, APMIS, 109, 721, 10.1034/j.1600-0463.2001.d01-138.x Hasse, 2003, African immigrant with weight loss and disseminated skin lesions, Clin Infect Dis, 37, 726, 10.1086/377278 Imbert, 1995, Disseminated Histoplasma capsulatum histoplasmosis in African AIDS patients (3 cases), Med Trop (Mars), 55, 151 Llibre, 1996, Fiebre persistente, adenopatías retroperitoneales, pancitopenia y hepatosplenomegalia en un inmigrante africano con infección por HIV-1, Enferm Infecc Microbiol Clin, 14, 499 Manfredi, 1994, Histoplasmosis capsulati and duboisii in Europe: the impact of the HIV pandemic, travel and immigration, Eur J Epidemiol, 10, 675, 10.1007/BF01719280 Benito, 1998, Histoplasmosis diseminada en pacientes con sida. Estudio de 2 casos y revisión de la bibliografía española, Enferm Infecc Microbiol Clin, 16, 316 Assi, 2006, Gastrointestinal histoplasmosis in the acquired immunodeficiency syndrome: report of 18 cases and literature review, Diagnost Microbiol Infect Dis, 55, 195, 10.1016/j.diagmicrobio.2006.01.015 Wheat, 2001, Laboratory diagnosis of histoplasmosis: Update 2000, Semin Respir Infect, 16, 131, 10.1053/srin.2001.24243 Mocherla, 2001, Treatment of histoplasmosis, Semin Respir Infect, 16, 141, 10.1053/srin.2001.24244 Gascón, 2000, Imported histoplasmosis in Spain, J Travel Med, 7, 89, 10.2310/7060.2000.00028 Ampel, 2001, Coccidioidomycosis among persons with human immunodeficiency virus infection in the era of highly active antiretroviral therapy (HAART), Semin Respir Infect, 16, 257, 10.1053/srin.2001.29301 Amper, 2005, Coccidioidomycosis in persons infected with HIV type 1, Clin Infect Dis, 41, 1174, 10.1086/444502 Verghese, 2002, Coccidioidomycosis in India: report of a second imported case, Med Mycol, 40, 307, 10.1080/mmy.40.3.307.309 Jang, 1999, The first imported case of pulmonary coccidioidomycosis in Korea, J Korean Med Sci, 14, 206, 10.3346/jkms.1999.14.2.206 Baird, 1999, A fluffy white traveller: imported Coccidiodes immitis infection in an Australian tourist, Pathology, 31, 47, 10.1080/003130299105539 Hernández, 1997, Atypical coccidioidomycosis in an AIDS patient successfully treated with fluconazole, Eur J Clin Microbiol Infect Dis, 16, 592, 10.1007/BF02447922 Goldani, 1995, Paracoccidioidomycosis and AIDS: an overview, Clin Infect Dis, 21, 1275, 10.1093/clinids/21.5.1275 Silva-Vergara, 2003, Paracoccidioidomycosis associated with human immunodeficiency virus infection. Report of 10 cases, Med Mycol, 41, 259, 10.1080/369378031000137215 Paniago, 2005, Paracoccidioidomycosis in patients with human immunodeficiency virus: review of 12 cases observed in an endemic region in Brazil, J Infect, 51, 248, 10.1016/j.jinf.2005.01.010 Benard, 2000, Paracoccidioidomycosis: a model for evaluation of the effects of human immunodeficiency virus infection on the natural history of endemic tropical diseases, Clin Infect Dis, 31, 1032, 10.1086/318146 Ajello, 1985, Imported paracoccidioidomycosis: a public health problem in non-endemic areas, Eur J Epidemiol, 1, 160, 10.1007/BF00234089 Horre, 2002, A case of imported paracoccidioidomycosis in a German legionnaire, Med Mycol, 40, 213, 10.1080/mmy.40.2.213.216 Manns, 1996, Paracoccidioidomycosis: case report and review, Clin Infect Dis, 23, 1026, 10.1093/clinids/23.5.1026 Miguelez, 1995, Paracoccidiodomicosis de importación. A propósito de dos casos, Med Clin (Barc), 105, 756 Pappas, 1992, Blastomycosis in patients with the acquired immunodeficiency syndrome, Ann Intern Med, 116, 847, 10.7326/0003-4819-116-10-847 Catherinot, 2002, A holiday in Canada, Lancet, 360, 1564, 10.1016/S0140-6736(02)11523-6