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Talaromyces marneffei (formerly known as Penicillium marneffei) is a dimorphic fungus endemic in south and southeast Asia. It is not only commonly found in human immunodeficiency virus (HIV)–infected patients, but also among HIV-negative immunocompromised patients. The infection caused by this pathogen can disseminate hematogenously to other locations. Herein, we report for the first time two cases complicated with a rare disease or involving a rare site: in the first case, T. marneffei infection was complicated by Langerhans cell histiocytosis, whereas the second case showed clear etiological evidence of pleural nodules and pleural effusion caused by T. marneffei and diagnosed by thoracoscopic pleural biopsy.
Financial support: This work was supported by the National Natural Science Foundation of Guangxi (No. 2015GXNSFAA139189).
Authors' addresses: Ye Qiu, Department of Integrated Medicine, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China, E-mail: email@example.com. Mingqi Pan, Jianquan Zhang, Xiaoning Zhong, Yu Li, and Hui Zhang, Department of Respiratory Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China, E-mails: firstname.lastname@example.org, email@example.com, firstname.lastname@example.org, email@example.com, and firstname.lastname@example.org. Bixun Li, Department of Comprehensive Internal Medicine, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China, E-mail: email@example.com.