Case Report: Disseminated () and Coinfection in a Japanese Patient with Acquired Immunodeficiency Syndrome.

is a dimorphic fungus endemic mainly in southeast and south Asia. It causes severe mycosis, usually in immunocompromised individuals, such as those with human immunodeficiency virus (HIV) infection. Concomitant infection with and other opportunistic pathogens is plausible because the majority of infections occur in patients with advanced HIV infection. Nonetheless, coinfection in the same site has rarely been reported, and poses a considerable diagnostic and therapeutic challenge. We report the case of an HIV-infected Japanese patient who had lived in Thailand for 6 years. The patient developed and coinfection, and both pathogens were isolated from the same sites: a blood specimen and a lymph node aspirate. Clinicians should be aware of concomitant infection with and other pathogens in patients with advanced HIV disease who are living in or who have visited endemic areas.