Disseminated histoplasmosis as presenting feature of acquired immunodeficiency syndrome: a case report
DOI:
https://doi.org/10.3329/bjmed.v24i2.20221Keywords:
Disseminated histoplasmosis, AIDS, immunocompromizedAbstract
Histoplasmosis is a mild self-limiting respiratory illness in immune-competent individuals. It disseminates in immune-suppressed states like patients with human immunodeficiency virus (HIV) infection, haematological malignancies, post transplant states and patients receiving immunesuppressive therapy. Here we report a case of disseminated histoplasmosis in a 45 year old diabetic, returning worker who presented with fever, cough, rash, oro-genital ulcer and weight loss. He was anaemic, there was crepitation on lung auscultation and hepatomegaly. Diagnostic workup revealed HIV infection with disseminated histoplasmosis. Intravenous amphotericin B was started along with other supportive therapy and for anti-retroviral therapy he was sent to a referral center. Being an uncommon condition in our perspective, we are reporting the case.
DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20221
Bangladesh J Medicine 2013; 24 : 78-81
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