Disseminated histoplasmosis in an AIDS patient: a rare case from southern India

Sathyanarayanan Vishwanath; Girish, Narayan; Mukhyaprana, Prabhu; Madhusudan, Sangar; Balasubramanian, R.; Manna, Valiathan; Goel, Shalini
October 2009
Tropical Doctor;Oct2008, Vol. 39 Issue 4, p247
Academic Journal
We present a case of disseminated histoplasmosis with acquired immunodeficiency syndrome (AIDS). A 38-year-old woman presented with fever, cough, dysphagia, significant weight loss and a loss of appetite. She also suffered from anaemia and cervical lymphadenopathy. A lymph node biopsy and a bone marrow aspirate showed intracellular yeast forms of Histoplasma capsulatum. She improved with parenteral amphotericin B and oral itraconazole. Even though histoplasmosis is not endemic in South East Asia and India, it should be kept in mind when evaluating AIDS patients in view of the current scenario of the pandemic.


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