Atypical presentation of disseminated histoplasmosis
Keywords:
Atipical presentation
Abstract
Histoplasmosis is a systemic mycosis produced by a variety of dimorphic fungus called dimorphic Histoplasma capsulatum var. capsulatum inhalation of microconidia produced in the environment. It is a prevalent disease in our environment and especially in patients living with HIV with a count of <200 CD4 lymphocytes/ml and with viral loads greater than 100,000 copies/ml. The presentation of the disseminated form rarely affects the reproductive system; being the most frequent pulmonary form.
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References
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(4) Azar, Marwan M et al. “Current Concepts in the Epidemiology, Diagnosis, and Management of Histoplasmosis Syndromes.” Seminars in respiratory and critical care medicine vol. 41,1 (2020): 13-30. doi:10.1055/s-0039-1698429
(5) Pietrobon, Diego et al. “Histoplasmosis diseminada y sida en un hospital argentino: manifestaciones clínicas, diagnóstico y tratamiento” [Disseminated histoplasmosis and AIDS in an Argentine hospital: clinical manifestations, diagnosis and treatment]. Enfermedades infecciosas y microbiologia clinica vol. 22,3 (2004): 156-9. doi:10.1016/s0213-005x(04)73056-6
(6) López Daneri, Adriana G et al. “Histoplasmosis diseminada en pacientes HIV/Sida. Buenos Aires, 2009-2014” [Disseminated histoplasmosis in patients with AIDS. Buenos Aires, 2009-2014]. Medicina vol. 76,6 (2016): 332-337
(7) Botero-García, Carlos Andrés et al. “Epididymo-orchitis caused by Histoplasma capsulatumin a Colombian patient.” Revista da Sociedade Brasileira de Medicina Tropical vol. 50,6 (2017): 868-870. doi:10.1590/0037-8682-0267-2017
(8) Randhawa, H S et al. “Epididymal histoplasmosis diagnosed by isolation of Histoplasma capsulatum from semen.” Mycopathologia vol. 131,3 (1995): 173-7. doi:10.1007/BF01102897
(9) Tichindelean, Carmen et al. “Disseminated histoplasmosis presenting as granulomatous epididymo-orchitis.” The American journal of the medical sciences vol. 338,3 (2009): 238-40. doi:10.1097/MAJ.0b013e3181a779fa
(10) Guidelines for Diagnosing and Managing Disseminated Histoplasmosis among People Living with HIV. Pan American Health Organization, April 2020
(2) Wheat, Lawrence J et al. “Histoplasmosis.” Infectious disease clinics of North America vol. 30,1 (2016): 207-27. doi:10.1016/j.idc.2015.10.009
(3) Mazi PB, Arnold SR, Baddley JW, Bahr NC, Beekmann SE, McCarty TP, Polgreen PM, Rauseo AM, Spec A. Management of Histoplasmosis by Infectious Disease Physicians. Open Forum Infect Dis. 2022 Jun 24;9(7):ofac313. doi: 10.1093/ofid/ofac313. PMID: 35899286; PMCID: PMC9310261
(4) Azar, Marwan M et al. “Current Concepts in the Epidemiology, Diagnosis, and Management of Histoplasmosis Syndromes.” Seminars in respiratory and critical care medicine vol. 41,1 (2020): 13-30. doi:10.1055/s-0039-1698429
(5) Pietrobon, Diego et al. “Histoplasmosis diseminada y sida en un hospital argentino: manifestaciones clínicas, diagnóstico y tratamiento” [Disseminated histoplasmosis and AIDS in an Argentine hospital: clinical manifestations, diagnosis and treatment]. Enfermedades infecciosas y microbiologia clinica vol. 22,3 (2004): 156-9. doi:10.1016/s0213-005x(04)73056-6
(6) López Daneri, Adriana G et al. “Histoplasmosis diseminada en pacientes HIV/Sida. Buenos Aires, 2009-2014” [Disseminated histoplasmosis in patients with AIDS. Buenos Aires, 2009-2014]. Medicina vol. 76,6 (2016): 332-337
(7) Botero-García, Carlos Andrés et al. “Epididymo-orchitis caused by Histoplasma capsulatumin a Colombian patient.” Revista da Sociedade Brasileira de Medicina Tropical vol. 50,6 (2017): 868-870. doi:10.1590/0037-8682-0267-2017
(8) Randhawa, H S et al. “Epididymal histoplasmosis diagnosed by isolation of Histoplasma capsulatum from semen.” Mycopathologia vol. 131,3 (1995): 173-7. doi:10.1007/BF01102897
(9) Tichindelean, Carmen et al. “Disseminated histoplasmosis presenting as granulomatous epididymo-orchitis.” The American journal of the medical sciences vol. 338,3 (2009): 238-40. doi:10.1097/MAJ.0b013e3181a779fa
(10) Guidelines for Diagnosing and Managing Disseminated Histoplasmosis among People Living with HIV. Pan American Health Organization, April 2020
Published
2024-04-07
How to Cite
Taborro, A., Lerman Tenembaun, D., Truccolo, P., Colmegna, E., & Rodríguez, G. (2024). Atypical presentation of disseminated histoplasmosis. Actualizaciones En Sida E Infectología, 32(114). https://doi.org/10.52226/revista.v32i114.216
Section
Case Report
