|Author||Doleschal, Bernhard ♦ Rödhammer, Therese ♦ Aichberger, KARL J. ♦ Lang, Franz ♦ Tsybrovskyy, Oleksiy|
|Source||Directory of Open Access Journals (DOAJ)|
|File Format||HTM / HTML|
|Subject Domain (in LCC)||RC799-869|
|Subject Keyword||Disseminated histoplasmosis ♦ Systemic illness ♦ Nonendemic area ♦ Oral ulcers ♦ Internal medicine ♦ Diseases of the digestive system ♦ Medicine ♦ Nonimmunocompromised patient ♦ Gastroenterology ♦ Colonic lesions ♦ Specialties of internal medicine|
|Abstract||Histoplasmosis is well characterized as an endemic fungal disease restricted to certain areas of the USA. In Middle Europe, most patients present with acute pulmonary symptoms after travelling to endemic areas. Here, we want to illustrate the case of a 67-year-old man who presented with persistent oral ulcers, hoarseness, dysphagia, diarrhea, and weight loss to our Department of Otorhinolaryngology in December 2014. He was a retired construction worker and had a history of soil-disruptive activities in Africa and Middle and South America during employment. A positron emission tomography-computed tomography scan revealed prominent hypermetabolic lesions in the cecum and the lung, pointing towards a malignant disease. Surprisingly, histological examination of colonic and oral biopsies revealed abundant intracellular fungal elements, highly suspicious of Histoplasma capsulatum. Diagnosis was finally confirmed by panfungal polymerase chain reaction. Upon treatment with liposomal amphotericin followed by itraconazole, the severely ill patient showed an impressive clinical response. This case describes a disseminated manifestation of H. capsulatum years after the first exposure in an otherwise immunocompetent patient descending from a nonendemic area.|
|Age Range||18 to 22 years ♦ above 22 year|
|Education Level||UG and PG ♦ Career/Technical Study|
|Learning Resource Type||Article|
|Journal||Case Reports in Gastroenterology|
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