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Upon admission, he was suffering from respiratory failure. A chest computed tomography showed subpleural, fissural and centrilobular micronodular lesions of diffuse distribution (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>1A, arrow), and a lung cavitation of 15<span class="elsevierStyleHsp" style=""></span>mm in diameter, located in the medial segment of the right lower lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, arrow). A fiberoptic bronchoscopy with bronchoalveolar lavage was performed, showing intracellular yeasts in Grocott's methenamine silver stain, and a <span class="elsevierStyleItalic">Histoplasma capsulatum</span> was isolated in the mycological study. The diagnosis of disseminated histoplasmosis was established. The patient was treated with amphotericin B followed by itraconazole, with a favorable clinical progression. 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Journal Information
Vol. 156. Issue 1.
Pages 48 (January 2021)
Vol. 156. Issue 1.
Pages 48 (January 2021)
Image in medicine
Disseminated histoplasmosis in immunosuppressed patient
Histoplasmosis diseminada en paciente inmunosuprimido
Horacio Matías Castro
, Martin Pablo Fullana, Hernán Luis Canale
Corresponding author
Sección de Neumonologia, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Article information
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